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Sanford Medical Center Fargo

Optometrist in Fargo, ND. Organization (NPI-2).

NPI number1891075198
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1891075198
Entity type
Organization (NPI-2)
Legal business name
Sanford Medical Center Fargo
Organization subpart
No
Enumeration date
Aug 18, 2011
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes
332H00000X Eyewear Supplier (Equipment, not the service)––

Other names

  • Sanford South University Eye Center & Optical (Doing Business As)

Practice location

1717 University Dr S
Fargo, ND 58103-4939

Phone 701-461-5100

Mailing address

1717 University Dr S
Fargo, ND 58103-4939

Phone 701-461-5100

Authorized official

Martha Leclerc
Vice President
7012346248

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