Premier Optical, LLC
Eyewear Supplier (Equipment, not the service) in Fargo, ND. Organization (NPI-2).
NPI number1245829357
StatusActive
Last updated in NPPESJan 25, 2021
Details
- NPI
- 1245829357
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Optical, LLC
- Organization subpart
- No
- Enumeration date
- Jan 13, 2021
- Certification date
- Jan 25, 2021
- Last updated
- Jan 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
| 156FX1800X | Technician/Technologist, Optician | – | – |
Practice location
3171 44th St S, Ste 101Fargo, ND 58104-8521
Phone 701-235-0561 · Fax 701-235-0330
Mailing address
3171 44th St S, Ste 101Fargo, ND 58104-8521
Phone 701-235-0561 · Fax 701-235-0330
Authorized official
Steven B Thom
President
7012350561
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