| Tyler Charles Clairmont, | |
|
111 E Century Ave, Bismarck, ND 58503-0400 | |
| (701) 222-1420 | |
| Not Available |
| Full Name | Tyler Charles Clairmont |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 111 E Century Ave, Bismarck, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508585860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 979 (North Dakota) | Secondary |
| 152W00000X | Optometrist | 797 (North Dakota) | Primary |
| Provider Name | Family Vision Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013012327 PECOS PAC ID: 7618936659 Enrollment ID: O20041006000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Charles Clairmont, 111 E Century Ave, Bismarck, ND 58503-0400 Ph: (701) 222-1420 | Tyler Charles Clairmont, 111 E Century Ave, Bismarck, ND 58503-0400 Ph: (701) 222-1420 |
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 |