IndividualActive
Michael Marvin, O.D.
NPI 1396710125 · Optometrist · Pine River, MN
Provider details
- NPI number
- 1396710125
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 1895 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
424 Barclay Ave
Pine River, MN 56474-0457
Phone: (218) 587-2020
Fax: (218) 587-3229
Approximate (ZIP-level) locationGet directions
Mailing address
424 Barclay Ave
Pine River, MN 56474-0457
Registry dates
- Enumerated
- 2006-02-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.