| NPI | 1144570789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JAMES FLEMING Optometrist 952-270-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MN 3293) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |