Family Vision Center | |
110 9th Ave S, Carrington, ND 58421-2020 | |
(701) 652-2020 | |
Not Available |
Full Name | Family Vision Center |
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Type | Facility |
Speciality | Optometrist |
Location | 110 9th Ave S, Carrington, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871780627 | NPI | - | NPPES |
60646 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 578 (North Dakota) | Primary |
Provider Name | Kathy M Hendrickson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770558249 PECOS PAC ID: 3870681521 Enrollment ID: I20071114000353 |
Mailing Address | Practice Location Address |
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Family Vision Center 110 9th Ave S, P.o. Box 220, Carrington, ND 58421-2020 Ph: (701) 652-2020 | Family Vision Center 110 9th Ave S, Carrington, ND 58421-2020 Ph: (701) 652-2020 |
Family Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 9th Ave S, Carrington, ND 58421 Phone: 701-652-2020 Fax: 701-652-2942 | |
Mrs. Kathy Marie Hendrickson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 9th Ave S, Carrington, ND 58421 Phone: 701-652-2020 Fax: 701-652-2942 |