Organization · Type 2 NPI

Sanford Medical Center Fargo

Eyewear Supplier · Fargo, ND

NPI number 1689694317 Active

Practice location

1717 University Dr S
Fargo, ND 58103-4939

Call (701) 461-5194 Map

Fax (701) 461-5196

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.

27 other providers at this address

Other eyewear supplier providers in Fargo

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NPI record

NPI: 1689694317
Entity type: Organization (Type 2)
Issued: Jul 19, 2006
Last updated: Sep 11, 2024
Status: Active

Other names

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Sanford South University Eye Center & Optical · doing business as
Sanford South University Eye Center & Optical · doing business as

Authorized official

Tony Lee Morrison
VP Revenue Cycle
(605) 328-8380

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689694317

Sanford Medical Center Fargo's National Provider Identifier is 1689694317, issued on Jul 19, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fargo, ND. The record was last updated on Sep 11, 2024.