Organization
VISION SOURCE MINOT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA MESKE OD (PRESIDENT)
(701) 852-2020
Entity
Organization
Contact information
Practice address
1100 N BROADWAY STE 110, MINOT, ND 58703-1349
(701) 214-2248
(701) 852-7853
Mailing address
1100 N BROADWAY STE 110, MINOT, ND 58703-1349
(701) 214-2248
(701) 852-7853
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
751
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1472949
—
ND
Enumeration date
05/01/2018
Last updated
05/01/2018
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