Individual
AMY MARIE FLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
111 E CENTURY AVE, BISMARCK, ND 58503-0412
(701) 222-1420
(701) 255-2414
Mailing address
111 E CENTURY AVE, BISMARCK, ND 58503-0412
(701) 222-1420
(701) 255-2414
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
530
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14091
BCBS MEDICARE
—
01
—
14808
ELGIN BCBS MEDICARE
—
01
—
220600001
CIGNA DMERC
—
01
—
410032423
RAILROAD MEDICARE
—
01
—
604796
ND SOCIAL SERVICE
—
05
—
60496
—
ND
01
—
800530
ND VISION BCBS
—
Enumeration date
05/27/2006
Last updated
03/07/2023
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