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Modern Eyes LLC

Eyewear Supplier (Equipment, not the service) in Bismarck, ND. Organization (NPI-2).

NPI number1326276171
StatusActive
Last updated in NPPESJun 30, 2009

Details

NPI
1326276171
Entity type
Organization (NPI-2)
Legal business name
Modern Eyes LLC
Organization subpart
No
Enumeration date
Jun 30, 2009
Last updated
Jun 30, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Practice location

121 N 3rd St.
Bismarck, ND 58501

Phone 701-223-2775 · Fax 701-751-0914

Mailing address

121 N 3rd St.
Bismarck, ND 58501

Phone 701-223-2775 · Fax 701-751-0914

Authorized official

James B. Knudsen
Owner
7014267403

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