| NPI | 1801068853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MACIK Partner 952-894-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |