Dr. Stacey Archibald, B.Sc., O.D.
Optometrist in Fargo, ND. Individual provider (NPI-1).
NPI number1306139266
StatusActive
Last updated in NPPESSep 13, 2018
Details
- NPI
- 1306139266
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stacey Archibald
- Credential
- B.Sc., O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 25, 2011
- Last updated
- Sep 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 689 | ND | Yes |
Practice location
3409 45th St S Ste 100Fargo, ND 58104-8970
Phone 701-561-0086 · Fax 701-561-0087
Mailing address
3409 45th St S Ste 100Fargo, ND 58104-8970
Phone 701-561-0086 · Fax 701-561-0087
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