Individual
MR. RICHARD A PRIVRATSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
446 3RD AVE W, DICKINSON, ND 58601-4940
(701) 225-2020
(701) 483-5879
Mailing address
PO BOX 967, DICKINSON, ND 58602-0967
(701) 225-2020
(701) 483-5879
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
334
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410019689
RAILROAD MEDICARE
—
05
—
60019
—
ND
01
—
800334
BLUE CROSS VISION
ND
Enumeration date
01/30/2006
Last updated
06/29/2010
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