| NPI | 1790029742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN OWANIMEDU EKEMEZIE Optometrist 763-843-7153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3311) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-07-17 |