| NPI | 1942351002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE ARCHIBALD CFO 218-839-4729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-01-16 |