Doug'S Optical, INC
Eyewear Supplier (Equipment, not the service) in Fargo, ND. Organization (NPI-2).
NPI number1215351440
StatusActive
Last updated in NPPESMay 7, 2014
Details
- NPI
- 1215351440
- Entity type
- Organization (NPI-2)
- Legal business name
- Doug'S Optical, INC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2014
- Last updated
- May 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | 332H00000X | ND | Yes |
Practice location
1547 University Dr SFargo, ND 58103-4156
Phone 701-235-5185 · Fax 701-232-4965
Mailing address
1547 University Dr SFargo, ND 58103-4156
Phone 701-235-5185 · Fax 701-232-4965
Authorized official
Douglas J Stavenger
Owner
7012355185
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