Organization
CAVALIER OPTOMETRY CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. S MEREDITH CLARK O.D. (PRESIDENT)
(701) 265-8315
Entity
Organization
Contact information
Practice address
201 E 3RD AVE S, CAVALIER, ND 58220
(701) 265-8315
(701) 265-8317
Mailing address
PO BOX 148, CAVALIER, ND 58220-0148
(701) 265-8315
(701) 265-8317
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
358
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0677790001
CIGNA
ND
01
—
140622
UCARE MINN
ND
05
—
60162
—
ND
01
—
91398
EYES FOR NEEDY
ND
01
—
93094CA
BLUE CROSS MINNESOTA
ND
01
—
979611041243
PREFERRED ONE
ND
01
—
CLA800358
VISION SERVICES INC
ND
Enumeration date
09/12/2005
Last updated
11/02/2007
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