Organization
FERCHO CATARACT & EYE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON FLAIG (CLINIC ADMINISTRATOR)
(701) 235-0561
Entity
Organization
Contact information
Practice address
100 4TH ST S STE 612, FARGO, ND 58103-1940
(701) 235-0561
(701) 235-0330
Mailing address
100 4TH ST S STE 612, FARGO, ND 58103-1940
(701) 235-0561
(701) 235-0330
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00488001
BLUE SHIELD
ND
01
—
00840001
VISION SERVICES
ND
05
—
064813200
—
MN
05
—
17403
—
ND
01
—
2M015FE
BLUE SHIELD
MN
Enumeration date
10/11/2006
Last updated
11/19/2010
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