| NPI | 1245428135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARWIN DALEN Owner 218-326-9619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MN 2529) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2016-05-24 |