| NPI | 1528748928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN MICHAEL MASTEL Owner/Optician 701-361-5276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |