| NPI | 1740567494 |
|---|---|
| Doing Business As | CROOKSTON EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW C FORGIT Optometrist 218-281-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2964) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2014-04-23 |