Fargo Vision Associates, P.C.
Eyewear Supplier (Equipment, not the service) in Fargo, ND. Organization (NPI-2).
NPI number1659326205
StatusActive
Last updated in NPPESSep 18, 2013
Details
- NPI
- 1659326205
- Entity type
- Organization (NPI-2)
- Legal business name
- Fargo Vision Associates, P.C.
- Organization subpart
- No
- Enumeration date
- May 23, 2006
- Last updated
- Sep 18, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- Pearle Vision (Doing Business As)
Practice location
3232 13th Ave SFargo, ND 58103
Phone 701-280-3000 · Fax 701-280-1304
Mailing address
3232 13th Ave SFargo, ND 58103
Phone 701-280-3000 · Fax 701-280-1304
Authorized official
Michael A Koeppe
Optometrist
7012803000
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