Richard A Privratsky, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

334 Issued in ND

Practice address

446 3Rd Ave W
Dickinson, ND 58601-4940

Phone

(701) 225-2020

Fax

(701) 483-5879

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Vision Centers PC

  • Optometrist
  • Dickinson, ND
  • NPI 1710966049
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1225009285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586020967",
            "telephone_number": "701-225-2020",
            "fax_number": "701-483-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 3RD AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014940",
            "telephone_number": "701-225-2020",
            "fax_number": "701-483-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIVRATSKY",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS VISION",
            "identifier": "800334",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410019689",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60019",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prairie Imaging, PC
• Andrea Jean Praus, LAPC
• Dana Marie Price
• Pristine Homes
• Paul F. Privratsky, LSW
• Nicole L Proctor
• Dawn Lynn Pruitt, PHARM.D
• David Charles Przymus, OD
• Psych 180 PLLC
• Sue Pyfer

• Optometrist in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.