| NPI | 1326019829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT LEE WILDE President/COO 952-567-6043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MN 1751) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2017-04-24 |