| NPI | 1962449835 |
|---|---|
| Former Legal Business Name | THE EYE SPECIALISTS PC |
| Entity Type | Organization |
| Authorized Contact | ALEESA A BRORBY Administrator 701-222-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-04-18 |