Organization
LEIDENIX PC
Active
Other names
Bis-Man Eyecare Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MATTSON (MANAGER)
(701) 663-0012
Entity
Organization
Contact information
Practice address
1000 OLD RED TRAIL NE, MANDAN, ND 58554-3052
(701) 663-0012
(701) 663-0522
Mailing address
1000 OLD RED TRAIL NE, MANDAN, ND 58554-3052
(701) 663-0012
(701) 663-0522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
552
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1461915
—
ND
Enumeration date
08/12/2013
Last updated
10/03/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up