| NPI | 1902918493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE GLANTZ ARNESON Partner 715-723-9187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WI 0246180001) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-09-24 |