| NPI | 1437768876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC TYLER Owner 651-206-2418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2021-02-23 |