| NPI | 1033606728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ASHLEY FREEBORN Owner/Optician 204-997-4842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |