NPI | 1508839879 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS SAMUELSON Owner 952-888-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
207WX0120X Ophthalmology, Cornea and External Diseases Specialist | |
291U00000X Clinical Medical Laboratory (Licence: MN 24D2023179) | |
332H00000X Eyewear Supplier (Equipment, not the service) | |
Enumeration Date | 2006-02-08 |
Last Update Date | 2024-10-01 |