| NPI | 1972663383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAINE SANGREN Vice Pres 763-421-0141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FC0801X Technician/Technologist, Contact Lens Fitter |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-02-06 |