| NPI | 1619279585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A PEDERSON Manager 218-791-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |