| 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 |