| NPI | 1275827107 |
|---|---|
| Doing Business As | EYES OF MENDOTA |
| Entity Type | Organization |
| Authorized Contact | MELAINA J GROVER Owner 651-686-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Additional Taxonomies | 156FC0801X Technician/Technologist Contact Lens Fitter |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |