| NPI | 1760674782 |
|---|---|
| Doing Business As | PEARLE VISION WILLMAR |
| Entity Type | Organization |
| Authorized Contact | BRADLEY L BACKHAUS CEO 320-235-1235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: MN 2069) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2008-11-05 |