| NPI | 1144387077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA K AMUNDSON Owner 320-251-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-06-26 |