| Leidenix Pc | |
|
2717 Rock Island Place, Suite 2, Bismarck, ND 58504-7724 | |
| (701) 258-3402 | |
| (701) 258-7897 |
| Full Name | Leidenix Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2717 Rock Island Place, Bismarck, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669401527 | NPI | - | NPPES |
| 1461613 | Medicaid | ND | |
| 60631 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 552 (North Dakota) | Primary |
| Provider Name | Joel Neumiller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568446359 PECOS PAC ID: 1951328608 Enrollment ID: I20070219000347 |
| Provider Name | Josh Borstad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245414457 PECOS PAC ID: 7517004245 Enrollment ID: I20091028000504 |
| Provider Name | Jason D Erhardt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093088122 PECOS PAC ID: 7517121593 Enrollment ID: I20120605000109 |
| Mailing Address | Practice Location Address |
|---|---|
| Leidenix Pc 1000 Old Red Trail Nw, Mandan, ND 58554-3052 Ph: (701) 663-0012 | Leidenix Pc 2717 Rock Island Place, Suite 2, Bismarck, ND 58504-7724 Ph: (701) 258-3402 |
Leidenix Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1400 Skyline Blvd, Bismarck, ND 58503 Phone: 701-255-4117 Fax: 701-255-4174 | |
Dr. Jason D Erhardt, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2717 Rock Island Pl, Bismarck, ND 58504 Phone: 701-258-3402 | |
Total Eyecare Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2821 Rock Island Pl, Bismarck, ND 58504 Phone: 701-222-1724 Fax: 701-222-1732 | |
Dr. Marty Mrachek, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 537 S. 7th St, C/o Nationwide Vision, Bismarck, ND 58504 Phone: 701-255-8490 Fax: 701-255-9349 | |
Dr. Thomas S Hansted, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 620 N 9th St, Bismarck, ND 58501 Phone: 701-255-4673 Fax: 701-255-4934 | |
Capitol Eyecare Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1325 57th Ave Ne, Bismarck, ND 58503 Phone: 701-471-0465 Fax: 701-712-5662 | |
Marty J. Mrachek Od Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 537 S 7th St, Bismarck, ND 58504 Phone: 701-255-8490 Fax: 701-255-9349 |