| NPI | 1073969812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE OKER Owner/O PT Ometrist 952-944-2792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 1487060265) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |