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Contact Information

ELITE EYE CARE PLLC
4401 COLEMAN ST STE 102
BISMARCK, ND58503-1371
 Phone: 701-390-1315
 Fax: 701-552-7171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ELITE EYE CARE PLLC

NPI Number 1932629755
LBN Legal business name ELITE EYE CARE PLLC
Authorized official JESSICA KELLER - (OWNER/OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/22/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
ND License # 710
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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