Provider Demographics
NPI:1679580500
Name:ALBRECHT, TONI LEANN (OD)
Entity type:Individual
Prefix:DR
First Name:TONI
Middle Name:LEANN
Last Name:ALBRECHT
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 1:415 BLAKE ROAD N STE 220
Mailing Address - Street 2:NORTHLAND BILLING SERVICES
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343
Mailing Address - Country:US
Mailing Address - Phone:952-935-1961
Mailing Address - Fax:952-935-1978
Practice Address - Street 1:3380 GALLERIA
Practice Address - Street 2:INVISION
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435
Practice Address - Country:US
Practice Address - Phone:952-920-5458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2765152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist