NPI | 1316955941 |
---|---|
Doing Business As | WHITE SPRUCE OPTOMETRY |
Entity Type | Organization |
Authorized Contact | LAUREN HAZELTON Optometrist/President 907-306-8300 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2110) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2025-04-02 |