| NPI | 1871727875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FALK President 651-337-0374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2856) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MN 2857) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2018-07-10 |