Individual
DR. THOMAS S HANSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
620 N 9TH ST, BISMARCK, ND 58501-4112
(701) 255-4673
(701) 255-4934
Mailing address
620 N 9TH ST, BISMARCK, ND 58501-4112
(701) 255-4673
(701) 255-4934
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
555
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19458
BLUE CROSS BLUE SHIELD
ND
05
—
60497
—
ND
01
—
860555
BCBS VISION SERVICES
ND
05
—
9201710
—
SD
Enumeration date
10/11/2005
Last updated
01/08/2008
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