Thomas Stephen Dunham, OD | |
3035 Demers Ave, Grand Forks, ND 58201-4040 | |
(701) 775-3151 | |
(701) 775-3153 |
Full Name | Thomas Stephen Dunham |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 41 Years |
Location | 3035 Demers Ave, Grand Forks, North Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982601357 | NPI | - | NPPES |
870421 G2 | Other | VSI | |
60300 | Medicaid | ND | |
00568 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 421 (North Dakota) | Primary |
Provider Name | North Dakota Eye Clinic Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972563815 PECOS PAC ID: 0648262808 Enrollment ID: O20040330001687 |
Mailing Address | Practice Location Address |
---|---|
Thomas Stephen Dunham, OD 3035 Demers Avenue, Grand Forks, ND 58201 Ph: (701) 775-3151 | Thomas Stephen Dunham, OD 3035 Demers Ave, Grand Forks, ND 58201-4040 Ph: (701) 775-3151 |
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