| NPI | 1235326398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE RENEE MASCIARELLI Owner/O PT Ometrist 701-281-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ND 490) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2008-06-17 |