MAVES EYEWEAR, LLC; NPI #1629248448

Contact Information

MAVES EYEWEAR, LLC

1101 S COLUMBIA RD
GRAND FORKS, ND 58201-4055

Phone: 701-775-4114
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for MAVES EYEWEAR, LLC

NPI Number 1629248448

LBN Legal business name MAVES EYEWEAR, LLC

Authorized official STEVEN GANDER - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/07/2008

Last updated 08/14/2009 - About 17 years ago

Identifiers

License #

458

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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MAVES EYEWEAR, LLC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for MAVES EYEWEAR, LLC

Reviews for MAVES EYEWEAR, LLC