NPI | 1598895039 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA JEAN OLSON President 651-224-2883 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2013-04-15 |