| NPI | 1477096451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY HAUPERT Optometrist 952-404-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MN 3472) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |