| NPI | 1871576306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY JON PETERSON President 952-925-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2009-06-16 |