| NPI | 1609894054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH L SCHINDLER Owner 701-255-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ND 397) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: ND 517) |
| 152W00000X Optometrist (Licence: ND 707) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-01-08 |