Forks Optometric, Ltd.

NPI #1144357211 in East Grand Forks, Minnesota

Provider Information

NPI Number: 1144357211
Entity Type: Organization
Organization Name: Forks Optometric, Ltd.
Primary Specialty: Optometrist
Enumeration Date: Feb 27, 2007
Last Updated: Mar 6, 2012

Practice Location

Address: 421 DEMERS AVE
City: East Grand Forks
State: Minnesota
ZIP Code: 56721-1835
Phone: (218) 773-3438

Authorized Official

Name: DR. BRUCE ALLEN STORHAUG, O.D.
Title: OPTOMETRIST
Phone: (218) 773-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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