| NPI | 1033891304 |
|---|---|
| Doing Business As | SILVER LAKE EYE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | DARRAN KIM President/Authorized Official 763-762-3247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-30 |