| NPI | 1336235449 | 
|---|---|
| Doing Business As | MOORHEAD VISION ASSOCIATES | 
| Entity Type | Organization | 
| Authorized Contact | LYNN M IVERSON Claims Supervisor 218-233-1624 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 152W00000X Optometrist | 
| Enumeration Date | 2006-10-05 | 
| Last Update Date | 2008-01-03 |