| NPI | 1700166006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA LECLERC Vice President 701-234-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2023-11-27 |