Organization
NORTH DAKOTA EYE CLINIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK L. SCZEPANSKI MD (PRESIDENT)
(701) 775-3151
Entity
Organization
Contact information
Practice address
1820 S 42ND ST., NORTH DAKOTA EYE CLINIC, LTD, GRAND FORKS, ND 58201-5820
(701) 775-3151
(701) 775-3153
Mailing address
3035 DEMERS AVE, NORTH DAKOTA EYE CLINIC, LTD, GRAND FORKS, ND 58201-4040
(701) 775-3151
(701) 775-3153
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10080
—
ND
05
—
655224200
—
MN
Enumeration date
01/12/2007
Last updated
05/11/2023
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