Organization
WILLISTON BASIN EYECARE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURALI M SIME OD (VICE PRESIDENT)
(701) 577-3937
Entity
Organization
Contact information
Practice address
1213 15TH AVE W, WILLISTON, ND 58801-3800
(701) 577-3937
Mailing address
1213 15TH AVE W, WILLISTON, ND 58801-3800
(701) 577-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
438
ND
152W00000X
Optometrist
Primary
574
ND
152W00000X
Optometrist
590
ND
152W00000X
Optometrist
596
ND
152W00000X
Optometrist
684
ND
Other
Enumeration date
06/14/2011
Last updated
09/30/2011
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