NPI | 1700263704 |
---|---|
Doing Business As | EDEN PRAIRIE EYE CARE |
Entity Type | Organization |
Authorized Contact | DOMINIQUE M OKER Optometrist/Owner 612-245-3212 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3401) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2015-09-22 |