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NPI Code Detail

MEDICARE: EYES BY DESIGN LTD

MEDICARE: EYES BY DESIGN LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist443ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205812393
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYES BY DESIGN LTD
Provider Business Mailing Address
First Line : 1005 SOUTH MAIN ST
Second Line :
City : WATFORD CITY
State : ND
Zip : 58854
Country : US
Telephone Number : 701-444-3221
Fax Number : 701-444-2448
Provider Business Practice Location Address
First Line : 1005 SOUTH MAIN ST
Second Line :
City : WATFORD CITY
State : ND
Zip : 58854
Country : US
Telephone Number : 701-444-3221
Fax Number : 701-444-2448
Authorized Official
Title or Position : PRESIDENT
Name : MELISSA PHYLLIS HJELDEN
Credential :
Telephone Number : 701-444-3221
Provider Enumeration Date : 12/20/2005
Last Update Date : 06/27/2023

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Directions to “EYES BY DESIGN LTD ” Practice Location

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