NPI | 1497785620 |
---|---|
Doing Business As | FOUR SEASONS EYECARE |
Entity Type | Organization |
Authorized Contact | DONALD H SEALOCK President 763-559-7358 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2103) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2016-09-26 |