NPI 1215351440

Doug's Optical, INC

Organisation Eyewear Supplier Fargo, ND

Practice location

Address: 1547 University Dr S, Fargo, ND 58103-4156
Phone: (701) 235-5185
Fax: (701) 232-4965

Authorised official

Name: Douglas J Stavenger
Title: Owner
Phone: (701) 235-5185

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 332H00000X (ND)

Other Eyewear Supplier providers in North Dakota →

Registry record

NPI: 1215351440
Entity type: Organization
NPI issued: 7 Feb 2014
Record last updated: 7 May 2014

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.