NPI 1295414472

Madison Rae Bosh

Practitioner Optometrist West Fargo, ND

Practice location

Address: 354 23rd Ave E, West Fargo, ND 58078-7820
Phone: (701) 566-5390
Fax: (605) 371-7199
Mailing address: 3101 W 57th St, Sioux Falls, SD 57108-3162

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 808 (ND)

Other Optometrist providers in North Dakota →

Registry record

NPI: 1295414472
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2023
Record last updated: 21 May 2024

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.