NPI | 1619972734 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID G. GAUSTAD Owner/Manager 218-998-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2005-06-15 |
Last Update Date | 2009-07-13 |