| NPI | 1447386552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A MCGUIRE Vice President 507-835-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 1900) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MN 1900) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2012-11-28 |