| NPI | 1679640221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN G SCHNEIDER Manager 763-424-1206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 1670) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-07-16 |