| NPI | 1639611791 |
|---|---|
| Other Name | PRAIRIE VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | JACE HUNTER PICKEN Optometrist 218-233-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 186) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |