NPI | 1508032574 |
---|---|
Doing Business As | UPTOWN VISION CLINIC |
Entity Type | Organization |
Authorized Contact | THOMAS J AUGUSTIN Od 612-822-5844 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2008-04-30 |
Last Update Date | 2025-09-02 |