OrganizationActive
Professional Optical
NPI 1710210646 · Eyewear Supplier · Fargo, ND
Provider details
- NPI number
- 1710210646
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Daniel Levin, Doctor/Owner(701) 298-0643
Specialties & taxonomies
Suppliers
Practice location
4344 20th Ave Sw
Fargo, ND 58103-7436
Phone: (701) 298-0643
Fax: (701) 293-0909
Approximate (ZIP-level) locationGet directions
Mailing address
4344 20th Ave Sw
Fargo, ND 58103-7436
Registry dates
- Enumerated
- 2009-09-10
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.