Mrg INC
Eyewear Supplier (Equipment, not the service) in Fargo, ND. Organization (NPI-2).
NPI number1245301852
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1245301852
- Entity type
- Organization (NPI-2)
- Legal business name
- Mrg INC
- Organization subpart
- No
- Enumeration date
- Nov 13, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- Garrys Opticians (Doing Business As)
Practice location
2810 North BroadwayFargo, ND 58102-1420
Phone 701-232-1161
Mailing address
2810 North BroadwayFargo, ND 58102-1420
Phone 701-232-1161
Authorized official
Michael Richard Gravalin
Owner Manager
7012321161
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