NPI | 1811430226 |
---|---|
Doing Business As | TOMMY LEE ELTON |
Entity Type | Organization |
Authorized Contact | THOMAS L ELTON Owner 952-922-8118 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3231) |
Enumeration Date | 2016-12-02 |
Last Update Date | 2023-06-06 |