Agassiz Optometry Associates PC
Optometrist in Crookston, MN. Organization (NPI-2).
NPI number1740567494
StatusActive
Last updated in NPPESApr 23, 2014
Details
- NPI
- 1740567494
- Entity type
- Organization (NPI-2)
- Legal business name
- Agassiz Optometry Associates PC
- Organization subpart
- No
- Enumeration date
- Nov 9, 2011
- Last updated
- Apr 23, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2964 | MN | Yes |
Other names
- Crookston Eye Clinic (Doing Business As)
Practice location
216 S Main StCrookston, MN 56716-1939
Phone 218-281-2020
Mailing address
216 S Main StCrookston, MN 56716-1939
Phone 218-281-2020 · Fax 218-281-5997
Authorized official
Matthew C Forgit
Optometrist
2182812020
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Other Optometrist providers in Crookston, MN
- Crookston Eye Clinic, P.C.NPI 1063550457
- Matthew C Forgit, O.D.NPI 1427114214
- Kari Jane Miller, O.D.NPI 1679587828
- Angela Sue Smith, O.D.NPI 1457569378
All 5 Optometrist providers in Crookston · All 318 providers in Crookston
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