Zachary Blake Dirks, O.D. Valid NPI

Individual provider · Optometrist · Saint Peter, MN

NPI

1366640377

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

3080 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2007-07-11

Last updated

2008-02-29