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Organization

HEARTLAND EYE CARE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DORI M CARLSON O.D. (SECRETARY-TREASURER)
(701) 284-7330
Entity
Organization

Contact information

Practice address
415 HILL AVE, GRAFTON, ND 58237-1001
(701) 352-1370
(701) 352-1376
Mailing address
PO BOX 370, GRAFTON, ND 58237-0370
(701) 352-1370
(701) 352-1376

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00485001
BLUE CROSS BLUE SHIELD
ND
05
60418
ND
01
CO4132
PALMETTO GBA-RAILROAD MC
ND
Enumeration date
12/08/2006
Last updated
07/16/2008
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