NPI 1366636599

Professional Optical

Organisation Eyewear Supplier Fargo, ND

Practice location

Address: 4344 20th Ave SW, Fargo, ND 58103-4434
Phone: (701) 299-0643
Fax: (701) 293-0909

Authorised official

Name: Daniel J Levin
Title: Doctor/Optometrist
Phone: (701) 298-0643

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in North Dakota →

Registry record

NPI: 1366636599
Entity type: Organization
NPI issued: 30 Aug 2007
Record last updated: 21 Jul 2022

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.