| NPI | 1437250164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE THIER Optometrist 507-360-0298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SD 594) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SD 595) |
| 152W00000X Optometrist (Licence: SD 601) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-05-14 |