| NPI | 1215151527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE ALAN MOSER Owner 701-746-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: ND 141143) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |