Organization
VISION OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI LISBURG (OPTICIAN/MANAGER)
(701) 298-0643
Entity
Organization
Contact information
Practice address
4344 20TH AVE SW, FARGO, ND 58103-7436
(701) 298-0643
(701) 293-0909
Mailing address
4344 20TH AVE SW, FARGO, ND 58103-7436
(701) 298-0643
(701) 293-0909
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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