| NPI | 1497853717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN TOWLE Administrator 701-255-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-03-26 |