| NPI | 1619077575 |
|---|---|
| Other Name | COLUMBIA PARK - EYEWARE |
| Entity Type | Organization |
| Authorized Contact | JOHN LOUIS WEIR Executive Director 763-586-5877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |