NPI | 1144357211 |
---|---|
Doing Business As | OPTICARE |
Entity Type | Organization |
Authorized Contact | BRUCE ALLEN STORHAUG Optometrist 218-773-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2007-02-27 |
Last Update Date | 2012-03-06 |