| NPI | 1245829357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN B THOM President 701-235-0561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-25 |