| NPI | 1427149442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D C NEEDHAM Financial Manager 952-832-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 7314104) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 7314104) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |