Organization
BISMARCK EYECARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOL K DILLAVOU O.D. (PRESIDENT)
(701) 222-1140
Entity
Organization
Contact information
Practice address
1830 E CENTURY AVE, SUITE 1, BISMARCK, ND 58503-0639
(701) 222-1140
(701) 222-1142
Mailing address
1623 E BLOSSOM DR, MENOKEN, ND 58558-5018
(701) 222-1140
(701) 222-1140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
591
ND
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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