| NPI | 1063588374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM ANDERSON Owner 605-692-5173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: SD 05001EST001) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2022-07-21 |