NPI 1336597079

Trevor J Fosso

Practitioner Optometrist Sartell, MN

Practice location

Address: 2180 Troop Dr, Sartell, MN 56377-4563
Phone: (320) 258-3915
Fax: (320) 258-3917

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence MN3499 (MN)

Other Optometrist providers in Minnesota →

Registry record

NPI: 1336597079
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2016
Record last updated: 28 Jun 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.