| 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 |