| NPI | 1962496570 |
|---|---|
| Doing Business As | OPTICAL EYEDEAS |
| Entity Type | Organization |
| Authorized Contact | RICHARD N KITTELSON O PT Ician/Owner 218-847-8021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MN 03590) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2025-09-11 |