Provider Demographics
NPI:1750998100
Name:INFINITY EYE CARE LLC
Entity type:Organization
Organization Name:INFINITY EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOGEAIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:952-222-3937
Mailing Address - Street 1:1275 RAMSEY STREET SUITE 700
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379
Mailing Address - Country:US
Mailing Address - Phone:952-222-3937
Mailing Address - Fax:952-222-2204
Practice Address - Street 1:1275 RAMSEY STREET
Practice Address - Street 2:SUITE 700
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379
Practice Address - Country:US
Practice Address - Phone:952-222-3937
Practice Address - Fax:952-222-2204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty