NPI | 1831156645 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER J BORGEN CEO 218-681-3300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2803) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MN 2833) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2008-09-11 |