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Individual

DR. JAMES A. WOODMANSEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3750 32ND AVE S, SUITE 109, GRAND FORKS, ND 58201-5998
(701) 780-8726
(701) 780-1284
Mailing address
3750 32ND AVE S, SUITE 109, GRAND FORKS, ND 58201-5998
(701) 780-8726
(701) 780-1284

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
557
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13459
SPECTERA
01
14196
NORIDIAN MUTUAL
01
48409
DAVIS VISION
01
551545
NVA
05
60499
ND
01
800557
ND VISION SERVICES
ND
01
A001
TRICARE
01
POO219448/DD2923
RRMDCR
Enumeration date
09/26/2006
Last updated
09/25/2012
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