| NPI | 1801825476 |
|---|---|
| Doing Business As | THIRD STREET OPTICAL |
| Entity Type | Organization |
| Authorized Contact | DAVID R SMITH VP Finance 218-751-8313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2008-05-15 |