# MIDWEST VISION CENTERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midwest Vision Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801129705
- **Authorized official:** CARIN MARIE EVANS (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (320) 252-5777

## Contact information

- **Practice address:** 2800 S COLUMBIA RD, GRAND FORKS, ND 58201-6076
- **Practice address phone:** (701) 757-4100
- **Practice address fax:** (701) 757-4101
- **Mailing address:** PO BOX 456, SAINT CLOUD, MN 56302-0456
- **Mailing address phone:** (320) 252-5777
- **Mailing address fax:** (320) 258-3762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | Yes |
| 156FX1800X | Optician | — | — | Yes |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 09/09/2009
- **Last updated:** 11/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60680 | — | ND |