Madison Rae Bosh, | |
354 23rd Ave E, West Fargo, ND 58078-7820 | |
(701) 566-5390 | |
(605) 371-7199 |
Full Name | Madison Rae Bosh |
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Gender | Female |
Speciality | Optometrist |
Location | 354 23rd Ave E, West Fargo, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295414472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 808 (North Dakota) | Primary |
Provider Name | Vance Thompson Vision Clinic Prof Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205193554 PECOS PAC ID: 1153567441 Enrollment ID: O20220418001307 |
Mailing Address | Practice Location Address |
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Madison Rae Bosh, 3101 W 57th St, Sioux Falls, SD 57108-3162 Ph: () - | Madison Rae Bosh, 354 23rd Ave E, West Fargo, ND 58078-7820 Ph: (701) 566-5390 |
John Gregory Dye, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1207 Prairie Pkwy, West Fargo, ND 58078 Phone: 701-282-2020 Fax: 701-282-0230 | |
Brooke Marie Messer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 354 23rd Ave E, West Fargo, ND 58078 Phone: 701-566-5390 Fax: 605-371-7199 | |
Nicholas Christian Risbrudt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 354 23rd Ave E, West Fargo, ND 58078 Phone: 701-566-5390 Fax: 605-371-7199 | |
Anna Joy Miller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 750 23rd Ave E, West Fargo, ND 58078 Phone: 701-281-2237 | |
Christian Jalen Pratt, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 505 32nd Ave E Ste B, West Fargo, ND 58078 Phone: 701-566-5390 Fax: 701-539-7199 | |
Mcculley Optix Gallery Optometrist Medicare: Medicare Enrolled Practice Location: 567 32nd Ave E, West Fargo, ND 58078 Phone: 701-373-2020 Fax: 701-373-0021 |