| NPI | 1215351440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS J STAVENGER Owner 701-235-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: ND 332H00000X) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-05-07 |