| NPI | 1932266111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN HANSON Owner 763-493-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2009-04-21 |