NORTH DAKOTA EYE CLINIC, LTD; NPI #1023168663

Contact Information

NORTH DAKOTA EYE CLINIC, LTD

1820 S 42ND ST.
NORTH DAKOTA EYE CLINIC, LTD
GRAND FORKS, ND 58201-5820

Phone: 701-775-3151
Fax: 701-775-3153
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for NORTH DAKOTA EYE CLINIC, LTD

NPI Number 1023168663

LBN Legal business name NORTH DAKOTA EYE CLINIC, LTD

Authorized official MARK SCZEPANSKI - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/12/2007

Last updated 05/11/2023 - About 3 years ago

Identifiers

MN	Medicaid	655224200
ND	Medicaid	10080

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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NORTH DAKOTA EYE CLINIC, LTD

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for NORTH DAKOTA EYE CLINIC, LTD

Reviews for NORTH DAKOTA EYE CLINIC, LTD