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Organization

PREMIER OPTICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN B THOM MD (PRESIDENT)
(701) 235-0561
Entity
Organization

Contact information

Practice address
3171 44TH ST S, STE 101, FARGO, ND 58104-8521
(701) 235-0561
(701) 235-0330
Mailing address
3171 44TH ST S, STE 101, FARGO, ND 58104-8521
(701) 235-0561
(701) 235-0330

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
01/13/2021
Last updated
01/25/2021
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