| NPI | 1578780433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LOUISE BUJOLD President 218-728-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: MN 5227365) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-05-29 |