Organization
FORKS OPTOMETRIC, LTD.
Active
Parent organization
FORKS OPTOMETRIC, LTD.
Other names
OPTICARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORKS OPTOMETRIC, LTD.
Authorized official
DR. BRUCE A STORHAUG O.D. (OPTOMETRIST)
(218) 281-6440
Entity
Organization
Contact information
Practice address
107 E 2ND ST, CROOKSTON, MN 56716-1722
(218) 281-6440
(218) 281-5884
Mailing address
107 E 2ND ST, CROOKSTON, MN 56716-1722
(218) 281-6440
(218) 281-5884
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2122937
MN
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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