| NPI | 1124184403 |
|---|---|
| Doing Business As | SANFORD HEALTH DETROIT LAKES EYE CENTER & OPTICAL |
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2021-08-31 |