Cavalier Optometry Clinic LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

358 Issued in ND

Legal business name

CAVALIER OPTOMETRY CLINIC LTD

Practice address

201 E 3Rd Ave S
Cavalier, ND 58220

Phone

(701) 265-8315

Fax

(701) 265-8317

NPI assigned

Sep 12, 2005

Last updated

Nov 2, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. S Meredith Clark, O.D.

Title

President

Phone

(701) 265-8315

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1730173238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "582200148",
            "telephone_number": "701-265-8315",
            "fax_number": "701-265-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 3RD AVE S",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "58220",
            "telephone_number": "701-265-8315",
            "fax_number": "701-265-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVALIER OPTOMETRY CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "MEREDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-265-8315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ND",
            "license": "358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Sue Brumbaugh, SLP
• Kayla Lynn Busse
• Lisa Ann Byron
• Dallas John Carlson, P.T.
• Cavalier Ambulance Service, Inc
• Tami Christianson-Larson, M.S., CCC, SLP
• Selmer Meredith Clark, OD
• Alexandria Elaine Connin
• Landon Makall Connin
• County of Pembina

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.