| NPI | 1316133762 |
|---|---|
| Doing Business As | CENTRASOTA EYE CARE & LASER SURGERY |
| Entity Type | Organization |
| Authorized Contact | VICKY LYNN TAMBLYN Manager 320-258-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |