| NPI | 1710210646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J LEVIN Doctor/Owner 701-298-0643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2022-07-21 |