NPI | 1053473835 |
---|---|
Doing Business As | NORTH WOODS OPTICS |
Entity Type | Organization |
Authorized Contact | KEVIN LEE BAHR Dr 651-464-4824 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2070000) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2011-12-01 |