| NPI | 1700630720 |
|---|---|
| Doing Business As | ALPINE VISION |
| Entity Type | Organization |
| Authorized Contact | RUSSELL NATHANIEL OSNES Owner/Director 651-452-0344 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-07-09 |