NPI | 1053604397 |
---|---|
Professional Name | MATT TERRY SANDERS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3250) |
Additional Taxonomies | 152W00000X Optometrist (Licence: ND 693) |
Enumeration Date | 2011-05-19 |
Last Update Date | 2024-12-15 |