LUMEN VISION PC

FARGO, ND
NPI1447879663
Entity TypeOrganization
Authorized ContactRYAN THOMAS CAPOUCH
Founder/CEO
701-404-9096
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
Enumeration Date2020-04-09
Last Update Date2021-06-02
Business Address
LUMEN VISION PC
5120 PROSPERITY WAY S STE 114
FARGO, ND 58104-7568
Phone number: 701-404-9096
Mailing Address
LUMEN VISION PC
6844 17TH ST S
FARGO, ND 58104-7857
Phone number: 701-404-9096
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