| NPI | 1528241718 |
|---|---|
| Doing Business As | FAIRVIEW BROOKLYN PARK CLINIC (EYEWEAR) |
| Entity Type | Organization |
| Authorized Contact | ROBERT ANDREW MCCOY VP Revenue Management 612-672-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2020-10-26 |