| NPI | 1679623862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER FREED O PT Ometrist 952-466-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 51388) |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist Optician | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-01-15 |