Family Vision Clinic Llc | |
110 Main St N, Elgin, ND 58533 | |
(701) 584-3727 | |
(701) 584-3727 |
Full Name | Family Vision Clinic Llc |
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Type | Facility |
Speciality | Clinic/center |
Location | 110 Main St N, Elgin, 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 |
---|---|---|---|
1013012327 | NPI | - | NPPES |
1455794 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 530 (North Dakota) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Krista R Heil |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215991799 PECOS PAC ID: 6002871563 Enrollment ID: I20041123001011 |
Provider Name | George Gero |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255388294 PECOS PAC ID: 8921000233 Enrollment ID: I20080619000188 |
Provider Name | Amy M Fleck |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598712515 PECOS PAC ID: 4385646694 Enrollment ID: I20080626000041 |
Provider Name | Wesley Schwartz |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1588949630 PECOS PAC ID: 3274755756 Enrollment ID: I20141118001485 |
Provider Name | Tyler Charles Clairmont |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1508585860 PECOS PAC ID: 4183009483 Enrollment ID: I20220922003768 |
Mailing Address | Practice Location Address |
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Family Vision Clinic Llc 110 Main St N, Elgin, ND 58533 Ph: (701) 584-3727 | Family Vision Clinic Llc 110 Main St N, Elgin, ND 58533 Ph: (701) 584-3727 |