| NPI | 1750648978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA JO MCGREGOR Owner/Optician 605-886-2956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |