NPI | 1134637457 |
---|---|
Doing Business As | DOWNTOWN EYES CROSSTOWN |
Entity Type | Organization |
Authorized Contact | MARY ANN JOY ZASTROW Owner 507-210-0469 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3211) |
Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist |
Enumeration Date | 2018-01-22 |
Last Update Date | 2020-10-22 |