| NPI | 1679619548 |
|---|---|
| Doing Business As | TRINITY REGIONAL EYECARE-WESTERN DAKOTA |
| Entity Type | Organization |
| Authorized Contact | JOHN M KUTCH CEO 701-857-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2015-02-18 |