Organization
MIDWEST VISION CENTERS, INC.
Active
Other names
Midwest Vision Centers
Organization subpart
No
Provider details
NPI number
Authorized official
CARIN MARIE EVANS (DIRECTOR OF OPERATIONS)
(320) 252-5777
Entity
Organization
Contact information
Practice address
2800 S COLUMBIA RD, GRAND FORKS, ND 58201-6076
(701) 757-4100
(701) 757-4101
Mailing address
PO BOX 456, SAINT CLOUD, MN 56302-0456
(320) 252-5777
(320) 258-3762
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60680
—
ND
Enumeration date
09/09/2009
Last updated
11/10/2021
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