IndividualActive
Amanda Mackner, OD
NPI 1386216885 · Optometrist · Fargo, ND
Provider details
- NPI number
- 1386216885
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 2935 (MD)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
4360 13th Ave S
Fargo, ND 58103-3310
Phone: (701) 282-5880
Approximate (ZIP-level) locationGet directions
Mailing address
4360 13th Ave S
Fargo, ND 58103-3310
Registry dates
- Enumerated
- 2021-07-14
- Last updated
- 2023-07-18
- Certified
- 2023-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.