Provider Demographics
NPI:1982134235
Name:HUTCHINS, EMILY LYNN (OD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:LYNN
Last Name:HUTCHINS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 W COUNTY ROAD 42
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-4051
Mailing Address - Country:US
Mailing Address - Phone:712-539-2602
Mailing Address - Fax:
Practice Address - Street 1:4200 W COUNTY ROAD 42
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-4051
Practice Address - Country:US
Practice Address - Phone:712-539-2602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3518152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist