| NPI | 1972655157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGO MAE PIXLEY Office Manager 320-632-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2022-07-21 |