Ahmann Eyecare PLLC
Organization Active NPI Optometrist · Minot, ND
NPI 1275919151 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1275919151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- ND663 (ND)
- Legal business name
- AHMANN EYECARE PLLC
- Practice address
- 1100 31St Ave SW Ste 2
Minot, ND 58701-2007 - Phone
- (701) 837-0022
- NPI assigned
- Aug 3, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Jessica Ahmann, OD
- Title
- Optometrist/Owner
- Phone
- (701) 837-0022
Practitioners 1
-
Jessica Ann Ahmann, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150916002845 | ND | Part B Supplier - Clinic/Group Practice | 4385951722 |
Receives reassigned benefits from 1 practitioner Practice locations: Minot, ND |
| O20220602000271 | ND | DME Supplier - Physician - Optometrist | 4385951722 | Practice locations: Minot, ND |
National Provider Directory
Locations
1400 S Broadway
Minot, ND 58701
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | ND663 | ND | Yes |
Addresses
Primary practice location
1100 31St Ave SW Ste 2
Minot, ND 58701-2007
Mailing address
1100 31St Ave SW Ste 2
Minot, ND 58701-2007
Phone (701) 837-0022
Other names
- Optical Outlook
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.