Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Southpointe Eye Center & Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LECLERC (VICE PRESIDENT)
(701) 234-6248
Entity
Organization
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-3640
Mailing address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-3640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
08/18/2011
Last updated
11/27/2023
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