Organization
JED D HILLMER OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JED D. HILLMER O.D. (DIRECTOR)
(701) 239-9771
Entity
Organization
Contact information
Practice address
101 10TH ST N, SUITE 120, FARGO, ND 58102-4600
(701) 239-9771
(701) 293-0944
Mailing address
101 10TH ST N, SUITE 120, FARGO, ND 58102-4600
(701) 239-9771
(701) 293-0944
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
670
ND
Other
Enumeration date
09/08/2009
Last updated
02/28/2011
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