| NPI | 1356563803 |
|---|---|
| Former Legal Business Name | ST. CLOUD VISION CLINIC, INC. |
| Other Name | PIERZ EYECARE |
| Entity Type | Organization |
| Authorized Contact | KEN D DODGE President 320-224-5936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2809) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2022-04-28 |