Organization · Type 2 NPI
Sanford Medical Center Fargo
Eyewear Supplier · Detroit Lakes, MN
NPI number
1124184403
Active
Practice location
1234 Washington Ave Ste A
Detroit Lakes, MN 56501-3906
Fax (701) 234-2045
Mailing address
PO Box 2168
Fargo, ND 58107-2168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
2 other providers at this address
Other eyewear supplier providers in Detroit Lakes
About NPI 1124184403
Sanford Medical Center Fargo's National Provider Identifier is 1124184403, issued on Dec 29, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Detroit Lakes, MN. The record was last updated on Aug 2, 2024.