Whalio Doctors

NPI 1619972734

20-20 Optical INC

Organisation Eyewear Supplier Fergus Falls, MN

Practice location

Address
615 S Mill St STE 2, Fergus Falls, MN 56537-2756
Phone
(218) 998-2020
Fax
(218) 998-2098

Authorised official

Name
David G. Gaustad
Title
Owner/Manager
Phone
(218) 998-2020

Registered specialties (2)

Eyewear Supplier Primary
Suppliers Taxonomy 332H00000X
Optician
Eye and Vision Services Providers Taxonomy 156FX1800X

Registry record

NPI
1619972734
Entity type
Organization
NPI issued
15 Jun 2005
Record last updated
13 Jul 2009

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.