Individual
DR. CASEY CLAY BARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
420 CENTER AVE, SUITE 41, MOORHEAD, MN 56560-1957
(218) 233-1624
(218) 233-2058
Mailing address
420 CENTER AVE, SUITE 41, MOORHEAD, MN 56560-1957
(218) 233-1624
(218) 233-2058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003612A
IN
152W00000X
Optometrist
Primary
3196
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01065717
RR MEDICARE
MN
Enumeration date
07/22/2009
Last updated
12/16/2019
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