| NPI | 1215014378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MAYNE Rcm Manager 952-832-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MN 4699580) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-06-16 |