| Lifetime Vision 20/20 | |
|
300 2nd Ave Ne Ste 102, Jamestown, ND 58401-3373 | |
| (701) 252-2020 | |
| (701) 251-2801 |
| Full Name | Lifetime Vision 20/20 |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 300 2nd Ave Ne Ste 102, Jamestown, 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 |
|---|---|---|---|
| 1912052234 | NPI | - | NPPES |
| 60038 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 502 (North Dakota) | Secondary |
| 152W00000X | Optometrist | 486 (North Dakota) | Primary |
| Provider Name | Lawrence J Motacek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114951951 PECOS PAC ID: 4981716255 Enrollment ID: I20110418000628 |
| Provider Name | Tamara K Mathison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134161706 PECOS PAC ID: 5496864225 Enrollment ID: I20110418000650 |
| Provider Name | Briana Bohn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457748006 PECOS PAC ID: 5496068512 Enrollment ID: I20150720000495 |
| Provider Name | Brianna Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568235489 PECOS PAC ID: 2062860273 Enrollment ID: I20231129001241 |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Vision 20/20 300 2nd Ave Ne, Jamestown, ND 58401 Ph: (701) 252-2020 | Lifetime Vision 20/20 300 2nd Ave Ne Ste 102, Jamestown, ND 58401-3373 Ph: (701) 252-2020 |
Dr. Douglas L Frohlich, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 210 10th St Se, Jamestown, ND 58401 Phone: 701-252-5000 Fax: 701-952-5005 | |
Dr. Lawrence J Motacek, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 2nd Ave Ne, Jamestown, ND 58401 Phone: 701-252-2020 Fax: 701-251-2801 | |
Tamara Kay Mathison, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 2nd Av Ne, Jamestown, ND 58401 Phone: 701-252-2020 Fax: 701-251-2801 | |
Jordan R Thomas, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 210 10th St Se, Jamestown, ND 58401 Phone: 701-252-5000 Fax: 701-952-5005 | |
Dr. Steve W Looysen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 821 1st Ave S, Jamestown, ND 58401 Phone: 701-252-3937 Fax: 701-952-3937 | |
Dr. Kent S Fronk, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 210 10th St Se, Jamestown, ND 58401 Phone: 701-252-5000 Fax: 701-952-5005 | |
Briana Bohn, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 2nd Ave Ne, Jamestown, ND 58401 Phone: 701-252-2020 Fax: 701-251-2801 |