| Drs Moen Enderle And Krein Pc | |
|
404 Hwy 2 East, Devils Lake, ND 58301-0130 | |
| (701) 662-4085 | |
| (701) 662-6685 |
| Full Name | Drs Moen Enderle And Krein Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 404 Hwy 2 East, Devils Lake, 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 |
|---|---|---|---|
| 1265539639 | NPI | - | NPPES |
| 60573 | Medicaid | ND | |
| CI2649 | Other | ND | PALMETTO GBA RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Carey L Enderle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275726887 PECOS PAC ID: 3971697376 Enrollment ID: I20070917000070 |
| Provider Name | Blaine L Burdick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235393489 PECOS PAC ID: 3678616679 Enrollment ID: I20100129000368 |
| Provider Name | Mark A Moen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124124623 PECOS PAC ID: 2163415662 Enrollment ID: I20100913000975 |
| Provider Name | Kaylin E Johnston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720632094 PECOS PAC ID: 4981038122 Enrollment ID: I20191223000891 |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Moen Enderle And Krein Pc Po Box 130, Devils Lake, ND 58301-0130 Ph: (701) 662-4085 | Drs Moen Enderle And Krein Pc 404 Hwy 2 East, Devils Lake, ND 58301-0130 Ph: (701) 662-4085 |
Dr. Mark A Moen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 404 Hwy 2 East, Devils Lake, ND 58301 Phone: 701-662-4085 Fax: 701-662-6685 | |
Blaine Landon Burdick, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 211 4th St Ne Ste 1, Devils Lake, ND 58301 Phone: 701-662-2817 Fax: 701-662-2040 | |
Dr. Carey L Enderle, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 404 Hwy 2 East, Devils Lake, ND 58301 Phone: 701-662-4085 Fax: 701-662-6685 | |
20/20 Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 211 4th St Ne Ste 1, Devils Lake, ND 58301 Phone: 701-662-2040 Fax: 701-662-2040 | |
Dr. Kyle D Krein, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 404 Hwy 2 East, Devils Lake, ND 58301 Phone: 701-662-4085 Fax: 701-662-6685 | |
Dr. Kaylin Elizabeth Johnston, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 404- Hwy 2 East, Devils Lake, ND 58301 Phone: 701-662-4085 Fax: 701-662-6685 |