| NPI | 1558545582 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOAN MARIE GORMAN MEYER Owner Certified Optician 651-639-8227 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: 072582) | 
| Enumeration Date | 2007-12-27 | 
| Last Update Date | 2007-12-27 |