Organization
DOUG'S OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS J STAVENGER (OWNER)
(701) 235-5185
Entity
Organization
Contact information
Practice address
1547 UNIVERSITY DR S, FARGO, ND 58103-4156
(701) 235-5185
(701) 232-4965
Mailing address
1547 UNIVERSITY DR S, FARGO, ND 58103-4156
(701) 235-5185
(701) 232-4965
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
332H00000X
ND
Other
Enumeration date
02/07/2014
Last updated
05/07/2014
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