| NPI | 1154466019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE ARENDS Owner 952-546-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FC0800X Technician/Technologist Contact Lens |
| 156FC0801X Technician/Technologist Contact Lens Fitter | |
| 156FX1800X Technician/Technologist Optician | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2017-07-03 |