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Contact Information

DR. THOMAS M. KILZER - OPTOMETERIST - PC
1929 N WASHINGTON ST
BISMARCK, ND58501-1616
 Phone: 701-258-6100
 Fax: 701-258-9882
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for DR. THOMAS M. KILZER - OPTOMETERIST - PC

NPI # 1396907010
LBN Legal business name DR. THOMAS M. KILZER - OPTOMETERIST - PC
Authorized official THOMAS KILZER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/25/2008
Last updated 04/28/2011 - About 15 years ago
Identifiers
ND License # 332
ND Medicaid 60138
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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