| NPI | 1912052234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J MOTACEK Manager 701-252-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ND 486) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: ND 502) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2024-07-31 |