Organization
DRAYTON EYE CLINIC
Active
Organization
DRAYTON EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DUNHAM OD (OPTOMETRIST)
(701) 454-3340
Entity
Organization
Contact information
Practice address
104 E HIGHWAY 66 STE 102, DRAYTON, ND 58225-4804
(701) 454-3340
Mailing address
104 E HIGHWAY 66 STE 102, DRAYTON, ND 58225-4804
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
421
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00568
—
ND
05
—
60300
—
ND
01
—
870421 G2
VSI
ND
Enumeration date
03/28/2012
Last updated
03/28/2012
Update your record
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