Sanford Medical Center Fargo
Eyewear Supplier (Equipment, not the service) in Fargo, ND. Organization (NPI-2).
NPI number1689694317
StatusActive
Last updated in NPPESSep 11, 2024
Details
- NPI
- 1689694317
- Entity type
- Organization (NPI-2)
- Legal business name
- Sanford Medical Center Fargo
- Organization subpart
- No
- Enumeration date
- Jul 19, 2006
- Certification date
- Sep 11, 2024
- Last updated
- Sep 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- Sanford South University Eye Center & Optical (Doing Business As)
Practice location
1717 University Dr SFargo, ND 58103-4939
Phone 701-461-5194 · Fax 701-461-5196
Mailing address
Po Box 2168Fargo, ND 58107-2168
Phone 701-234-2119 · Fax 701-234-3471
Authorized official
Tony Lee Morrison
Vp Revenue Cycle
6053288380
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