| NPI | 1881699197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY S SCHWARTZ Md/Authorized Official 651-275-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 485) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 485) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2020-05-14 |