Individual
JEFFERY YUNKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2900 S COLUMBIA RD, GRAND FORKS, ND 58201-6070
(701) 746-6745
(701) 746-6961
Mailing address
2900 S COLUMBIA RD, GRAND FORKS, ND 58201-6070
(701) 746-6745
(701) 746-6961
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
464
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23567
BC/BS ND
ND
01
—
342R7LI
BC/BS OF MN
ND
01
—
5455550001
DMERC
ND
01
—
892828
ND VISION SERVICES
ND
01
—
DB2399
RAILROAD RETIREMENT
ND
Enumeration date
03/02/2006
Last updated
02/01/2008
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