| NPI | 1487706073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON KING CFO 763-560-1636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: MN 1068294) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2009-05-04 |