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Contact Information

CENTURY EYEWEAR, INC
207 MAIN ST S
MINOT, ND58701-3915
 Phone: 701-852-5626
 Fax: 701-838-6723
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CENTURY EYEWEAR, INC

NPI # 1881725737
LBN Legal business name CENTURY EYEWEAR, INC
Authorized official JASON BRADLEY - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2007
Last updated 10/07/2016 - About 10 years ago
Identifiers
ND License # 544
ND Medicaid 58124
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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