Nathan Collins, OD
Optometrist in Fargo, ND. Individual provider (NPI-1).
NPI number1962137778
StatusActive
Last updated in NPPESFeb 21, 2025
Details
- NPI
- 1962137778
- Entity type
- Individual (NPI-1)
- Name
- Nathan Collins
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2022
- Certification date
- Feb 21, 2025
- Last updated
- Feb 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 826 | ND | Yes |
| 152W00000X | Optometrist | 3887 | MN |
Practice location
4360 13th Ave SFargo, ND 58103-3391
Phone 701-282-5880
Mailing address
4360 13th Ave SFargo, ND 58103-3391
Phone 701-282-5880
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