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FARGO VISION ASSOCIATES P.C. NPI 1659326205


NPI Information

NPI: 1659326205
Provider Name: FARGO VISION ASSOCIATES, P.C.

Doing Business As: PEARLE VISION

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
3232 13TH AVE S
FARGO, ND
ZIP 58103
Phone: (701) 280-3000
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FARGO VISION ASSOCIATES, P.C. is an eyewear supplier in Fargo, ND. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. FARGO VISION ASSOCIATES, P.C. NPI is 1659326205. The provider is registered as an organization entity type.
The provider Is Doing Business As Pearle Vision.

The provider's business location address is:

3232 13TH AVE S
FARGO, ND
ZIP 58103
Phone: (701) 280-3000
Fax: (701) 280-1304

The provider's authorized official is Michael A Koeppe .
The authorized official title is Optometrist and has the following contact phone number (701) 280-3000.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 9/18/2013.


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 SupplierYes

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
170939MEDICARE ID-TYPE UNSPECIFIED

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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