| NPI | 1609838614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN DENISE BREY Delegated Official 952-993-6832 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2025-09-24 |