Provider Demographics
NPI:1528844107
Name:BE THOU MY VISION, PLLC
Entity type:Organization
Organization Name:BE THOU MY VISION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LARSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:701-742-3111
Mailing Address - Street 1:PO BOX 90
Mailing Address - Street 2:
Mailing Address - City:OAKES
Mailing Address - State:ND
Mailing Address - Zip Code:58474-0090
Mailing Address - Country:US
Mailing Address - Phone:701-742-3111
Mailing Address - Fax:701-742-2445
Practice Address - Street 1:409 MAIN AVENUE
Practice Address - Street 2:
Practice Address - City:OAKES
Practice Address - State:ND
Practice Address - Zip Code:58474-1240
Practice Address - Country:US
Practice Address - Phone:701-742-3111
Practice Address - Fax:701-742-2445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-07
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty