NPI | 1780635664 |
---|---|
Doing Business As | DBA CROSBY EYE CLINIC |
Entity Type | Organization |
Authorized Contact | JEROME D. POLAND President 218-546-5108 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MN 2807770001) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2014-06-30 |