| NPI | 1477785442 |
|---|---|
| Doing Business As | EYES OF MENDOTA |
| Entity Type | Organization |
| Authorized Contact | BRAD BEATTY Owner 651-686-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2011-06-28 |