| Drayton Eye Clinic | |
|
104 E Highway 66 Ste 102 Drayton ND 58225-4804 | |
| (701) 454-3340 | |
| Not Available |
| Full Name | Drayton Eye Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 104 E Highway 66 Ste 102, Drayton, North Dakota |
| Authorized Official Name and Position | Thomas Dunham (OPTOMETRIST) |
| Authorized Official Contact | 7014543340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drayton Eye Clinic 104 E Highway 66 Ste 102 Drayton ND 58225-4804 Ph: () - | Drayton Eye Clinic 104 E Highway 66 Ste 102 Drayton ND 58225-4804 Ph: (701) 454-3340 |
| NPI Number | 1679849236 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 03/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679849236 | NPI | - | NPPES |
| 00568 | Medicaid | ND | |
| 60300 | Medicaid | ND | |
| 870421 G2 | Other | ND | VSI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 421 (North Dakota) | Primary |
Altru Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1003 N Main St, Drayton, ND 58225 Phone: 701-454-3311 |