Organization
EYEWEAR CONCEPTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY A ANDRUS ABOC (SECRETARY OF CORPORTATION)
(701) 264-1177
Entity
Organization
Contact information
Practice address
448 21ST ST W STE D1, DICKINSON, ND 58602-0149
(701) 264-1177
(701) 225-8148
Mailing address
PO BOX 149, DICKINSON, ND 58602-0149
(701) 264-1177
(701) 225-8148
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56209
—
ND
Enumeration date
12/28/2005
Last updated
08/22/2020
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