| NPI | 1922347848 |
|---|---|
| Doing Business As | PEARLE VISION COON RAPIDS |
| Entity Type | Organization |
| Authorized Contact | JAMES HAWLEY President 612-599-0153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |