Cavalier Optometry Clinic LTD
Organization Active NPI Optometrist · Cavalier, ND
NPI 1730173238 · NPPES record last updated Nov 2, 2007
Key facts
- NPI
- 1730173238
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 358 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. S Meredith Clark, O.D.
- Title
- President
- Phone
- (701) 265-8315
National Provider Directory
Locations
201 E 3rd Ave S
#148
Cavalier, ND 58220
Phone (701) 265-8315
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 358 | ND | Yes |
Addresses
Primary practice location
201 E 3Rd Ave S
Cavalier, ND 58220
Mailing address
PO Box 148
Cavalier, ND 58220-0148
Phone (701) 265-8315
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0677790001 | Other | ND | CIGNA |
| 140622 | Other | ND | UCARE MINN |
| 979611041243 | Other | ND | PREFERRED ONE |
| CLA800358 | Other | ND | VISION SERVICES INC |
| 60162 | Medicaid | ND | |
| 91398 | Other | ND | EYES FOR NEEDY |
| 93094CA | Other | ND | BLUE CROSS MINNESOTA |
Other providers in Cavalier, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2007. 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.