Fargo Vision Associates, P.c.

NPI #1659326205 in Fargo, North Dakota

Provider Information

NPI Number: 1659326205
Entity Type: Organization
Organization Name: Fargo Vision Associates, P.c.
Primary Specialty: Eyewear Supplier
Enumeration Date: May 23, 2006
Last Updated: Sep 18, 2013

Practice Location

Address: 3232 13TH AVE S
City: Fargo
State: North Dakota
ZIP Code: 58103
Phone: (701) 280-3000

Authorized Official

Name: DR. MICHAEL A KOEPPE, OD
Title: OPTOMETRIST
Phone: (701) 280-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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