NPI | 1831371301 |
---|---|
Doing Business As | BRANDT'S OPICARE OPTICARE OF BRECKENRIDGE |
Entity Type | Organization |
Authorized Contact | RONALD D BRANDT Owner 218-643-5270 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2018MN) |
Enumeration Date | 2007-11-27 |
Last Update Date | 2007-11-27 |