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Contact Information

CAVALIER OPTOMETRY CLINIC LTD
201 E 3RD AVE S
CAVALIER, ND58220
 Phone: 701-265-8315
 Fax: 701-265-8317
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CAVALIER OPTOMETRY CLINIC LTD

NPI Number 1730173238
LBN Legal business name CAVALIER OPTOMETRY CLINIC LTD
Authorized official S CLARK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/12/2005
Last updated 11/02/2007 - About 19 years ago
Identifiers
ND License # 358
ND Medicaid 60162
ND Other 93094CA BLUE CROSS MINNESOTA
ND Other 0677790001 CIGNA
ND Other 91398 EYES FOR NEEDY
ND Other 979611041243 PREFERRED ONE
ND Other 140622 UCARE MINN
ND Other CLA800358 VISION SERVICES INC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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