NPI | 1992995658 |
---|---|
Doing Business As | LITCHFIELD EYE CENTER |
Entity Type | Organization |
Authorized Contact | TERRENCE LEE TANCABEL CEO 320-274-3701 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 1765) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2009-07-14 |