Individual
JAMES A MOLDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
506 BELTRAMI AVE NW, BEMIDJI, MN 56601-3010
(218) 751-2020
(218) 759-9228
Mailing address
506 BELTRAMI AVE NW, BEMIDJI, MN 56601-3010
(218) 751-2020
(218) 759-9228
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1728
MN
152WC0802X
Corneal and Contact Management Optometrist
1728
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018420
PREFERREDONE
—
01
—
28771
ND BCBS
ND
01
—
48B51MO
MN BCBS
MN
05
—
794523000
—
MN
01
—
HP29311
HEALTHPARTNERS
—
Enumeration date
01/31/2007
Last updated
11/30/2011
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