| NPI | 1730223868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SHIH-MING FALK President 651-337-0374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2856) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MN 2857) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2018-07-10 |