| NPI | 1225362486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK D CZYWCZYNSKI Doctor Of O PT Ometry 701-223-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ND 681) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |