NPI | 1366407991 |
---|---|
Entity Type | Organization |
Authorized Contact | OMAR AWAD President 651-558-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: MN 44159) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2013-01-23 |