Organization
SWANSON EYE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOPHIA SWANSON D.O. (OWNER)
(701) 265-4600
Entity
Organization
Contact information
Practice address
105 W 2ND AVENUE N, CAVALIER, ND 58220-0604
(701) 265-4600
(701) 265-4651
Mailing address
PO BOX 604, CAVALIER, ND 58220-0604
(701) 265-4600
(701) 265-4651
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
576
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60525
—
ND
05
—
60622
—
ND
Enumeration date
11/21/2006
Last updated
08/22/2020
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