NPI | 1780800904 |
---|---|
Doing Business As | OAKDALE OPTICAL CENTER |
Entity Type | Organization |
Authorized Contact | TRENT D. COLE President 651-738-8040 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2729) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2019-05-23 |