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Organization
MIDWEST VISION CENTERS, INC.
Active
Organization
MIDWEST VISION CENTERS, INC.
Active
Other names
Midwest Vision Centers
Organization subpart
No
Provider details
NPI number
Authorized official
CARIN MARIE EVANS (DIRECTOR OF OPERATIONS)
(320) 252-5777
Entity
Organization
Contact information
Practice address
2800 S COLUMBIA RD, GRAND FORKS, ND 58201-6076
(701) 757-4100
(701) 757-4101
Mailing address
PO BOX 456, SAINT CLOUD, MN 56302-0456
(320) 252-5777
(320) 258-3762
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NULL
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60680
—
ND
Enumeration date
09/09/2009
Last updated
11/10/2021
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