| NPI | 1528116969 |
|---|---|
| Other Name | VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | ROBERT PETER NYRE Owner 701-852-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ND 405) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-01-12 |