National Provider Identifier Database

SANFORD MEDICAL CENTER FARGO
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

SANFORD MEDICAL CENTER FARGO
1234 WASHINGTON AVE STE A
DETROIT LAKES, MN56501-3906
Phone: 218-846-2000
Fax: 701-234-2045
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for SANFORD MEDICAL CENTER FARGO

NPI Number 1124184403
Legal business name
LBN
SANFORD MEDICAL CENTER FARGO
Authorized official TONY MORRISON - (VP, FINANCE)
Entity Organization
Organization subpart No
Enumeration date 12/29/2006
Last updated 08/02/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • Other: 4C334BE MNBC
  • Other: 801770 NDBC

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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