Optometry Clinic of Kenmare
Organization Active NPI Optometrist · Kenmare, ND
NPI 1427508258 · NPPES record last updated Oct 5, 2016
Key facts
- NPI
- 1427508258
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 392 (ND)
- Legal business name
- OPTOMETRY CLINIC OF KENMARE
- Practice address
- 28 2ND St NW
Kenmare, ND 58746-7114 - Phone
- (701) 385-4004
- Fax
- (701) 385-4005
- NPI assigned
- Oct 5, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. David P Colby, OD
- Title
- Optometrist
- Phone
- (701) 385-4004
Practitioners 1
-
Tesha Gustafson, O.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 392 | ND | Yes |
Addresses
Primary practice location
28 2ND St NW
Kenmare, ND 58746-7114
Mailing address
28 2ND St NW
PO Box 512
Kenmare, ND 58746-7114
Phone (701) 385-4004
Other providers in Kenmare, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.