| Optometry Clinic Of Kenmare | |
| 28 2nd St Nw, Kenmare, ND 58746-7114 | |
| (701) 385-4004 | |
| (701) 385-4005 | 
| Full Name | Optometry Clinic Of Kenmare | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 28 2nd St Nw, Kenmare, North Dakota | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1427508258 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 392 (North Dakota) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Optometry Clinic Of Kenmare 28 2nd St Nw, Po Box 512, Kenmare, ND 58746-7114 Ph: (701) 385-4004 | Optometry Clinic Of Kenmare 28 2nd St Nw, Kenmare, ND 58746-7114 Ph: (701) 385-4004 | 
| Optometry Clinic, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 28 2nd St Nw, Kenmare, ND 58746 Phone: 701-385-4004 Fax: 701-385-4005 | |
| Tesha Gustafson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 28 2nd St Nw, Kenmare, ND 58746 Phone: 701-385-4004 Fax: 701-385-4005 | |
| Dr. David Paul Colby, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 28 2nd St Nw, Kenmare, ND 58746 Phone: 701-385-4004 Fax: 701-385-4005 |