| NPI | 1952452674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE S SIMERSON President 612-813-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MN 1751) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MN 1751) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |