| NPI | 1235282633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M ELVERUM Owner 651-738-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MN 1460) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |