| |
1000 Highway 12, Hettinger, ND 58639-7530 | |
(701) 567-4561 | |
(701) 567-6369 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1000 Highway 12, Hettinger, North Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588784870 | NPI | - | NPPES |
00377001 | Other | ND | BCBS OF NORTH DAKOTA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
1000 Highway 12, Hettinger, ND 58639-7530 Ph: (701) 567-4561 | 1000 Highway 12, Hettinger, ND 58639-7530 Ph: (701) 567-4561 |
John F Kludt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1000 Highway 12, Hettinger, ND 58639 Phone: 701-567-6133 |