Organization
EYES ON BROADWAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK TUFTE OD (OPTOMETRY)
(701) 356-3937
Entity
Organization
Contact information
Practice address
311 BROADWAY N, FARGO, ND 58102-4714
(701) 356-3937
Mailing address
311 BROADWAY N, FARGO, ND 58102-4714
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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