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Organization

VALLEY VISION CLINIC LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON M SCHAFF OD (VICE PRESIDENT)
(701) 775-3135
Entity
Organization

Contact information

Practice address
2200 SO WASHINGTON ST, GRAND FORKS, ND 58201
(701) 775-3135
(701) 772-8161
Mailing address
2200 SO WASHINGTON ST, GRAND FORKS, ND 58201
(701) 775-3135
(701) 772-8161

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2100122
MEDICA
01
234001
BCBS OF ND
05
60081
ND
01
801731
VISION SERVICE INC DIV OF
01
92037VA
BCBS OF MN
01
92042WA
BCBS OF MN
Enumeration date
08/08/2007
Last updated
06/29/2022
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