NPI | 1104855287 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN ANTHONY KINZER Owner/Partner 218-927-3213 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2588) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MN 1998) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2008-12-03 |