Individual
DR. SOPHIA NMI SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2800 S COLUMBIA RD, J.C. PENNEY OPTICAL-COLUMBIA MALL, GRAND FORKS, ND 58201-6076
(701) 746-4810
(701) 746-9260
Mailing address
14335 75TH ST NE, HOOPLE, ND 58243-9444
(701) 894-6205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
576
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60525
—
ND
Enumeration date
01/24/2006
Last updated
03/22/2011
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