| NPI | 1427159011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID SUFKA Owner/Optometrist 320-252-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-12-27 |