NPI | 1811452048 |
---|---|
Doing Business As | RANDYS FAMILY OPTICAL |
Entity Type | Organization |
Authorized Contact | TIM ROBERT HINDERSCHIED Office Manager 320-632-3676 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2019-02-01 |
Last Update Date | 2019-05-15 |