| Lumen Vision Pc | |
|
5120 Prosperity Way S Ste 114, Fargo, ND 58104-7568 | |
| (701) 404-9096 | |
| Not Available |
| Full Name | Lumen Vision Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5120 Prosperity Way S Ste 114, Fargo, 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 |
|---|---|---|---|
| 1447879663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Ryan Thomas Capouch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538650726 PECOS PAC ID: 3779830351 Enrollment ID: I20180727002694 |
| Mailing Address | Practice Location Address |
|---|---|
| Lumen Vision Pc 6844 17th St S, Fargo, ND 58104-7857 Ph: (701) 404-9096 | Lumen Vision Pc 5120 Prosperity Way S Ste 114, Fargo, ND 58104-7568 Ph: (701) 404-9096 |
Vivid Vision Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 3265 45th St S Ste 104, Fargo, ND 58104 Phone: 701-741-2951 | |
Barbra Brigitte Brookshire, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3902 13th Ave S, Fargo, ND 58103 Phone: 701-282-5880 Fax: 701-282-8414 | |
Todd L Metzger, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 | |
Andrew Viet Pham, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1801 45th St S, Fargo, ND 58103 Phone: 701-492-3937 | |
Blaine G Zieman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-3600 Fax: 701-234-3672 | |
Daniel John Levin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1100 19th Ave N Ste L&m, Fargo, ND 58102 Phone: 701-365-1150 | |
Thomas J Rene Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1695 43rd St S, Fargo, ND 58103 Phone: 701-235-3937 Fax: 701-491-7463 |