Organization
NODAK OPTICS DBA PEARLE VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A PEDERSON (OWNER)
(701) 780-9701
Entity
Organization
Contact information
Practice address
2800 S COLUMBIA RD, GRAND FORKS, ND 58201-6076
(701) 780-9701
(701) 780-9084
Mailing address
2800 S COLUMBIA RD, GRAND FORKS, ND 58201-6076
(701) 780-9701
(701) 780-9084
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
17321100
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102553
EYEMED
ND
01
—
18524
DAVIS VISION
ND
01
—
801774
NDVSI
ND
Enumeration date
03/22/2007
Last updated
08/22/2020
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