Whalio Doctors

NPI 1184992364

Osgood Eyecare Professionals, LLC

Organisation Optometrist Fargo, ND

Practice location

Address
4622 40th Ave S, Fargo, ND 58104-4394
Phone
(701) 364-2909
Fax
(701) 364-9346

Authorised official

Name
Jonathan Larson
Title
Owner
Phone
(320) 304-1027

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 685 (ND)

Registry record

NPI
1184992364
Entity type
Organization
NPI issued
2 Dec 2011
Record last updated
4 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.