Lighthouse Optical Inc.
NPI #1508291626 in Grafton, North Dakota
Provider Information
- NPI Number
- 1508291626
- Entity Type
- Organization
- Organization Name
- Lighthouse Optical Inc.
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Sep 9, 2013
- Last Updated
- Sep 9, 2013
Practice Location
- Address
- 317 COOPER AVE
- City
- Grafton
- State
- North Dakota
- ZIP Code
- 58237
- Phone
- (701) 352-2916
Authorized Official
- Name
- MR. JOHN DAVID MAXWELL
- Title
- SEC/TRES.
- Phone
- (701) 352-2916
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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