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MAVES EYEWEAR LLC NPI 1629248448


NPI Information

NPI: 1629248448
Provider Name: MAVES EYEWEAR, LLC

Doing Business As: MAVES OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1101 S COLUMBIA RD
GRAND FORKS, ND
ZIP 58201
Phone: (701) 775-4114
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MAVES EYEWEAR, LLC is an eyewear supplier in Grand Forks, ND. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. MAVES EYEWEAR, LLC NPI is 1629248448. The provider is registered as an organization entity type.
The provider Is Doing Business As Maves Optical.

The provider's business location address is:

1101 S COLUMBIA RD
GRAND FORKS, ND
ZIP 58201-055
Phone: (701) 775-4114

The provider's authorized official is Steven P Gander .
The authorized official title is President and has the following contact phone number (218) 773-3438.

The enumeration date for this NPI number is 3/7/2008 and was last updated on 8/14/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier458NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16159890001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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