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 |