Organization
BEULAH VISION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J HAMMERSCHMIDT OD (OPTOMETRIST/OWNER)
(701) 873-5251
Entity
Organization
Contact information
Practice address
204 W MAIN ST, BEULAH, ND 58523
(701) 873-5251
(701) 873-2141
Mailing address
PO BOX 699, BEULAH, ND 58523-0699
(701) 873-5251
(701) 873-2141
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
403
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2203717
SECURE HORIZONS DIRECT
ND
01
—
410029162
RAILROAD MEDICARE
ND
01
—
595020
ADVANTRA FREEDOM
ND
05
—
60574
—
ND
01
—
870403
NORTH DAKOTA VISION SERVICES
ND
01
—
8823
BCBS
ND
01
—
ND0003002
HUMANA
ND
Enumeration date
08/23/2005
Last updated
06/26/2013
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