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Contact Information

NODAK OPTICS DBA PEARLE VISION
2800 S COLUMBIA RD
GRAND FORKS, ND58201-6076
 Phone: 701-780-9701
 Fax: 701-780-9084
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for NODAK OPTICS DBA PEARLE VISION

NPI Number 1174649735
LBN Legal business name NODAK OPTICS DBA PEARLE VISION
Authorized official DAVID PEDERSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
ND License # 17321100
ND Other 18524 DAVIS VISION
ND Other 102553 EYEMED
ND Other 801774 NDVSI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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