Eyes On Broadway LLC

NPI #1720447808 in Fargo, North Dakota

Provider Information

NPI Number: 1720447808
Entity Type: Organization
Organization Name: Eyes On Broadway LLC
Primary Specialty: Optometrist
Enumeration Date: Feb 17, 2016
Last Updated: Feb 17, 2016

Practice Location

Address: 311 BROADWAY N
City: Fargo
State: North Dakota
ZIP Code: 58102-4714
Phone: (701) 356-3937

Authorized Official

Name: MARK TUFTE, OD
Title: OPTOMETRY
Phone: (701) 356-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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