| NPI | 1417119744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LEON ANDERSON Optometrist 507-437-3227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2009-09-30 |