NPI 1124125901

Terra L Boettcher, OD

Practitioner Optometrist Grand Forks, ND

Practice location

Address: 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201
Phone: (701) 732-7000
Mailing address: 2401 Demers Ave, Grand Forks, ND 58201

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 588 (ND)

Other Optometrist providers in North Dakota →

Registry record

NPI: 1124125901
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2006
Record last updated: 5 Mar 2019

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.