Organization
WAHPETON FAMILY EYECARE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRIAN CONNELLY O.D. (PRESIDENT)
(701) 642-9302
Entity
Organization
Contact information
Practice address
517 DAKOTA AVE, WAHPETON, ND 58075-4414
(701) 642-9302
(701) 642-4321
Mailing address
517 DAKOTA AVE, WAHPETON, ND 58075-4414
(701) 642-9302
(701) 642-4321
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
481
ND
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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