# JENNIFER L FAIRBANKS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225951379
- **Authorized official:** DR. JENNIFER L FAIRBANKS OD (OPTOMETRIST/OWNER)
- **Authorized official phone:** (320) 894-0579

## Contact information

- **Practice address:** 210 2ND AVE N, SAUK RAPIDS, MN 56379-1608
- **Practice address phone:** (320) 257-4990
- **Practice address fax:** (320) 257-4991
- **Mailing address:** 210 2ND AVE N, SAUK RAPIDS, MN 56379-1608
- **Mailing address phone:** (320) 257-4990
- **Mailing address fax:** (320) 257-4991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | — | NULL | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2026
- **Last updated:** 08/27/2026