NPI | 1932305489 |
---|---|
Doing Business As | FRIDLEY OPTICAL & EYECARE |
Entity Type | Organization |
Authorized Contact | MICHAEL PETRONACK Owner 763-784-3997 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2007-06-22 |
Last Update Date | 2019-10-18 |