IndividualActive
Douglas Stavenger, ABO
NPI 1649343930 · Optician · Fargo, ND
Provider details
- NPI number
- 1649343930
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- ABO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1547 So University Dr
Fargo, ND 58103
Phone: (701) 235-5185
Fax: (701) 232-4965
Approximate (ZIP-level) locationGet directions
Mailing address
1547 So University Dr
Fargo, ND 58103
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2009-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.