| NPI | 1205214236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S FISHER Exceutive Director 651-275-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2017-10-24 |