| NPI | 1083191985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE K ATCHISON President 701-235-0561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2023-08-07 |