| NPI | 1952745325 |
|---|---|
| Doing Business As | COTTAGE GROVE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | JAMES E JOHNSON Owner 612-963-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |