Optometry Clinic, Pc | |
28 2nd St Nw, Kenmare, ND 58746-7114 | |
(701) 385-4004 | |
(701) 385-4005 |
Full Name | Optometry Clinic, Pc |
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Type | Facility |
Speciality | Optometrist |
Location | 28 2nd St Nw, Kenmare, 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 |
---|---|---|---|
1225686827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Tesha M Gustafson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467807230 PECOS PAC ID: 5597053207 Enrollment ID: I20161012002891 |
Mailing Address | Practice Location Address |
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Optometry Clinic, Pc Po Box 1597, Stanley, ND 58784-1551 Ph: (701) 629-0208 | Optometry Clinic, Pc 28 2nd St Nw, Kenmare, ND 58746-7114 Ph: (701) 385-4004 |
Optometry Clinic Of Kenmare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 28 2nd St Nw, Kenmare, ND 58746 Phone: 701-385-4004 Fax: 701-385-4005 | |
Tesha Gustafson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 28 2nd St Nw, Kenmare, ND 58746 Phone: 701-385-4004 Fax: 701-385-4005 | |
Dr. David Paul Colby, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 28 2nd St Nw, Kenmare, ND 58746 Phone: 701-385-4004 Fax: 701-385-4005 |