| NPI | 1245721026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SWANSON Optician/Owner 701-532-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |