Forks Optometric, Ltd.

NPI #1942578562 in Crookston, Minnesota

Provider Information

NPI Number: 1942578562
Entity Type: Organization
Organization Name: Forks Optometric, Ltd.
Subpart: Yes (part of a larger organization)
Parent Organization: FORKS OPTOMETRIC, LTD.
Primary Specialty: Eyewear Supplier
Enumeration Date: Dec 9, 2011
Last Updated: Dec 9, 2011

Practice Location

Address: 107 E 2ND ST
City: Crookston
State: Minnesota
ZIP Code: 56716-1722
Phone: (218) 281-6440

Authorized Official

Name: DR. BRUCE A STORHAUG, O.D.
Title: OPTOMETRIST
Phone: (218) 281-6440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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