NPI | 1942578562 |
---|---|
Doing Business As | OPTICARE |
Entity Type | Organization |
Authorized Contact | BRUCE A STORHAUG Optometrist 218-281-6440 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MN 2122937) |
Enumeration Date | 2011-12-09 |
Last Update Date | 2011-12-09 |