NPI | 1659708527 |
---|---|
Doing Business As | EYESITE ON 43RD |
Entity Type | Organization |
Authorized Contact | DANIEL J LEVIN President 701-235-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2013-10-08 |
Last Update Date | 2015-12-08 |