| NPI | 1841381811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANEL PATCHEN Optician 701-258-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ND 165753 00) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2012-06-08 |