| NPI | 1982609194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD KLEMZ Administrator 651-275-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2020-08-22 |