| NPI | 1538578406 |
|---|---|
| Doing Business As | NORTH LAND OPTICAL |
| Entity Type | Organization |
| Authorized Contact | JAMIE LOU FREY VP Operations 715-392-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |