NPI | 1225323504 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURALI M SIME Vice President 701-577-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: ND 574) |
Additional Taxonomies | 152W00000X Optometrist (Licence: ND 684) |
152W00000X Optometrist (Licence: ND 596) | |
152W00000X Optometrist (Licence: ND 438) | |
152W00000X Optometrist (Licence: ND 590) | |
Enumeration Date | 2011-06-14 |
Last Update Date | 2011-09-30 |