| NPI | 1336588177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JOHN MARTIN Owner/O PT Ometrist 952-435-8821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN MN2093) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2018-07-31 |