| NPI | 1609062272 |
|---|---|
| Doing Business As | EYES ON BROADWAY |
| Doing Business As | REXINE FAMILY EYECARE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL KENNETH REXINE Owner 701-786-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ND 575) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2021-03-18 |