| NPI | 1619484078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANISE JOANN MILLER Owner Optometrist 320-632-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: MN 2873) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-03-29 |