Individual
TAMARA KAY MATHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
300 2ND AV NE, JAMESTOWN, ND 58401
(701) 252-2020
(701) 251-2801
Mailing address
300 2ND AV NE, JAMESTOWN, ND 58401
(701) 252-2020
(701) 251-2801
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ND502
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00782003
PREFERRED ONE
ND
01
—
2220973
MEDICA
ND
05
—
60426
—
ND
01
—
NDVI800502
NOVSI
ND
Enumeration date
06/11/2006
Last updated
01/29/2008
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