Organization
VANCE THOMPSON VISION ND PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID GREENWOOD (OWNER)
(701) 566-5390
Entity
Organization
Contact information
Practice address
354 23RD AVE E, WEST FARGO, ND 58078-7820
(701) 566-5390
(605) 371-7199
Mailing address
3101 W 57TH ST, SIOUX FALLS, SD 57108-3162
(605) 361-3937
(605) 371-7199
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
—
ND
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
05/21/2024
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