Organization
HEARTLAND EYE CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORI M CARLSON OD (SECRETARY-TREASURER)
(701) 284-7330
Entity
Organization
Contact information
Practice address
121 BRIGGS AVE N, PARK RIVER, ND 58270-0714
(701) 284-7330
(701) 284-7332
Mailing address
PO BOX O, PARK RIVER, ND 58270-0714
(701) 284-7330
(701) 284-7332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280490001
NAS-CIGNA REGION D
ND
01
—
339001
BLUE CROSS BLUE SHIELD
ND
05
—
60418
—
ND
01
—
84873HE
BLUE CROSS BLUE SHIELD
MN
01
—
CH9068
PALMETTO GBA-RAILROAD MC
ND
Enumeration date
11/30/2006
Last updated
08/22/2020
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