NPI | 1831243179 |
---|---|
Doing Business As | YANKEE EYE CLINIC |
Entity Type | Organization |
Authorized Contact | RUSSELL NATHANIEL OSNES Owner/President 651-452-0344 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2007-01-23 |
Last Update Date | 2015-02-18 |