Organization
VIVID VISION CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN BARRETT OD (OWNER)
(701) 741-2951
Entity
Organization
Contact information
Practice address
3265 45TH ST S STE 104, FARGO, ND 58104-7930
(701) 741-2951
Mailing address
3265 45TH ST S STE 104, FARGO, ND 58104-7930
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
750
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473399
—
ND
Enumeration date
07/24/2018
Last updated
07/24/2018
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