| NPI | 1306899323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE L FRITSCHE Sole Proprietor 507-537-1427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 1009) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-04-02 |