Organization
FAMILY VISION CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA RENAE HEIL OD (OWNER)
(701) 333-8243
Entity
Organization
Contact information
Practice address
110 MAIN ST N, ELGIN, ND 58533
(701) 584-3727
(701) 584-3727
Mailing address
110 MAIN ST N, ELGIN, ND 58533
(701) 584-3727
(701) 584-3727
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
530
ND
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455794
—
ND
Enumeration date
09/13/2006
Last updated
09/09/2022
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