| NPI | 1225467038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID YOMTOOB President/CEO 952-484-8517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A107904) |
| Enumeration Date | 2013-11-03 |
| Last Update Date | 2015-12-24 |