NPI 1508291626

Lighthouse Optical INC.

Organisation Optician Grafton, ND

Practice location

Address: 317 Cooper Ave, Grafton, ND 58237
Phone: (701) 352-2916

Authorised official

Name: John David Maxwell
Title: Sec/Tres.
Phone: (701) 352-2916

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in North Dakota →

Registry record

NPI: 1508291626
Entity type: Organization
NPI issued: 9 Sep 2013
Record last updated: 9 Sep 2013

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.