Organization
MASTEL MADE ARTISAN EYEWEAR LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN MICHAEL MASTEL ABOC (OWNER/OPTICIAN)
(701) 361-5276
Entity
Organization
Contact information
Practice address
3923 7TH ST S, MOORHEAD, MN 56560-5642
(701) 361-5276
Mailing address
3923 7TH ST S, MOORHEAD, MN 56560-5642
(701) 361-5276
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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