| NPI | 1063064640 |
|---|---|
| Former Legal Business Name | LIFEVIEW GLAUCOMA CENTER |
| Entity Type | Organization |
| Authorized Contact | ELISABETH PETITFOND APONTE Ophthalmologist 218-517-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2021-05-24 |