| NPI | 1851324313 |
|---|---|
| Doing Business As | PINE EYE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KRISTI A IVERSON CFO, Owner 320-629-7262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2009-03-12 |