Lisbon Vision Center, P.c.

NPI #1407896673 in Lisbon, North Dakota

Provider Information

NPI Number: 1407896673
Entity Type: Organization
Organization Name: Lisbon Vision Center, P.c.
Primary Specialty: Optometrist
Enumeration Date: Jun 7, 2006
Last Updated: Oct 8, 2008

Practice Location

Address: 17 11TH AVENUE WEST
City: Lisbon
State: North Dakota
ZIP Code: 58054-0916
Phone: (701) 683-5815

Authorized Official

Name: DR. COREY RAY MAIRS, O.D.
Title: PRESIDENT
Phone: (701) 683-5815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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