Organization
FAMILY VISION CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA RENAE HEIL OD (OWNER)
(701) 333-8243
Entity
Organization
Contact information
Practice address
111 E CENTURY AVE, BISMARCK, ND 58503-0412
(701) 222-1420
(701) 255-2414
Mailing address
111 E CENTURY AVE, BISMARCK, ND 58503-0412
(701) 222-1420
(701) 255-2414
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
530
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455794
—
ND
Enumeration date
08/30/2006
Last updated
09/09/2022
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