| NPI | 1871860130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT T OLSON President 507-375-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2012-04-06 |