| NPI | 1871856229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE ARCHIBALD CFO 218-829-0946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2023-01-16 |