| NPI | 1043363401 |
|---|---|
| Doing Business As | BLAINE EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | LYNN ALAN SULERUD Owner 763-757-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2011-02-15 |