IndividualActive
David Gaustad
NPI 1720316409 · Optician · Fergus Falls, MN
Provider details
- NPI number
- 1720316409
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 025206 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
615 S Mill St
Suite 2
Fergus Falls, MN 56537-2756
Phone: (218) 998-2020
Fax: (218) 998-2098
Approximate (ZIP-level) locationGet directions
Mailing address
2930 Lakewood Dr
Fergus Falls, MN 56537-3948
Registry dates
- Enumerated
- 2009-11-18
- Last updated
- 2009-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.