| NPI | 1376145151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ALLEN HANSEN Owner 612-978-9871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |