NPI | 1538624341 |
---|---|
Doing Business As | FOUR SEASONS EYECARE - MAPLE GROVE |
Entity Type | Organization |
Authorized Contact | JENNIE J SEALOCK Secr/Treas 763-559-7358 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2019-02-06 |
Last Update Date | 2019-02-06 |