Organization
PROFESSIONAL OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J LEVIN OD (DOCTOR/OWNER)
(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
—
ND
Other
Enumeration date
09/10/2009
Last updated
07/21/2022
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