| NPI | 1134321151 |
|---|---|
| Doing Business As | MERITCARE EYE CENTER BEMIDJI |
| Entity Type | Organization |
| Authorized Contact | LISA M CARLSON CFO 701-234-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |