Ann Louise Breen
Optometrist in Fargo, ND. Individual provider (NPI-1).
NPI number1285298240
StatusActive
Last updated in NPPESMar 28, 2022
Details
- NPI
- 1285298240
- Entity type
- Individual (NPI-1)
- Name
- Ann Louise Breen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2019
- Certification date
- Mar 28, 2022
- Last updated
- Mar 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 763 | ND | Yes |
| 152W00000X | Optometrist | 3619 | MN | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
Sanford Southpointe Eye Center & Optical2400 32nd Ave. S.
Fargo, ND 58103
Phone 701-234-3640
Mailing address
Po Box 606Hillsboro, ND 58045-0606
Phone 701-430-9898
Other practice locations
510 6th St. Ne
Hillsboro, ND 58045
Hillsboro, ND 58045
Phone 701-636-3966
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