| NPI | 1164794780 |
|---|---|
| Doing Business As | MOORHEAD VISION ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | STANTON L ANDRIST Ownter/Od 218-233-1624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2021) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MN 1532) |
| 152W00000X Optometrist (Licence: MN 3196) | |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2014-03-18 |