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Organization
FORKS OPTOMETRIC, LTD.
Active
Organization
FORKS OPTOMETRIC, LTD.
Active
Parent organization
FORKS OPTOMETRIC, LTD.
Other names
OPTICARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORKS OPTOMETRIC, LTD.
Authorized official
DR. BRUCE A STORHAUG O.D. (OPTOMETRIST)
(218) 281-6440
Entity
Organization
Contact information
Practice address
107 E 2ND ST, CROOKSTON, MN 56716-1722
(218) 281-6440
(218) 281-5884
Mailing address
107 E 2ND ST, CROOKSTON, MN 56716-1722
(218) 281-6440
(218) 281-5884
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2122937
MN
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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