Organization
DR. THOMAS M. KILZER - OPTOMETERIST - PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M KILZER O.D. (PRESIDENT)
(701) 258-6100
Entity
Organization
Contact information
Practice address
1929 N WASHINGTON ST, BISMARCK, ND 58501-1616
(701) 258-6100
(701) 258-9882
Mailing address
1929 N WASHINGTON ST, BISMARCK, ND 58501-1616
(701) 258-6100
(701) 258-9882
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
332
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60138
—
ND
Enumeration date
06/25/2008
Last updated
04/28/2011
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