Blue Eye INC
NPI #1528382900 in Fargo, North Dakota
Provider Information
- NPI Number
- 1528382900
- Entity Type
- Organization
- Organization Name
- Blue Eye INC
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Mar 15, 2010
- Last Updated
- Aug 30, 2010
Practice Location
- Address
- 100 SO 4TH ST
- Address 2
- STE 108
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-1929
- Phone
- (701) 237-5787
Authorized Official
- Name
- MR. THOMAS C. JOHNSON, OPTICIAN
- Title
- OWNER/PRESIDENT
- Phone
- (701) 237-5787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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