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 |