# NORTH DAKOTA EYE CLINIC, LTD

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

## Provider details

- **NPI number:** 1972563815
- **Authorized official:** DR. MARK L. SCZEPANSKI MD (VICE PRESIDENT)
- **Authorized official phone:** (701) 775-3151

## Contact information

- **Practice address:** 1820 S 42ND ST., GRAND FORKS, ND 58201-5820
- **Practice address phone:** (017) 775-3151
- **Practice address fax:** (701) 775-3153
- **Mailing address:** 1820 S 42ND ST., GRAND FORKS, ND 58201-4018
- **Mailing address phone:** (701) 775-3151
- **Mailing address fax:** (701) 775-3153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 8411 | ND | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | 8411 | ND | — |

## Other

- **Enumeration date:** 03/24/2006
- **Last updated:** 05/11/2023