| NPI | 1265678056 |
|---|---|
| Former Legal Business Name | GRAND FORKS VISION |
| Entity Type | Organization |
| Authorized Contact | DAVID ALLAN PEDERSON Owner 701-780-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2008-12-28 |
| Last Update Date | 2010-05-03 |