Osgood Eyecare Professionals, LLC

NPI #1184992364 in Fargo, North Dakota

Provider Information

NPI Number: 1184992364
Entity Type: Organization
Organization Name: Osgood Eyecare Professionals, LLC
Primary Specialty: Optometrist
Enumeration Date: Dec 2, 2011
Last Updated: Apr 4, 2012

Practice Location

Address: 4622 40TH AVE S
City: Fargo
State: North Dakota
ZIP Code: 58104-4394
Phone: (701) 364-2909

Authorized Official

Name: DR. JONATHAN LARSON, OD
Title: OWNER
Phone: (320) 304-1027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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