| NPI | 1174649735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A PEDERSON Owner 701-780-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: ND 17321100) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |