Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Southpointe Eye Center & Optical
Organization subpart
No
Provider details
NPI number
Authorized official
TONY LEE MORRISON (VP, REVENUE CYCLE)
(605) 328-8380
Entity
Organization
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-3640
(701) 234-2045
Mailing address
PO BOX 2168, SIOUX FALLS, SD 57101-2168
(701) 234-2119
(701) 234-2045
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1C701SO
MNBC
—
01
—
801770
NDBC
—
Enumeration date
12/29/2006
Last updated
08/02/2024
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