Organization
BRANDT OPTICARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD D BRANDT OD (OWNER)
(218) 233-2650
Entity
Organization
Contact information
Practice address
725 CENTER AVE, SUITE # 2, MOORHEAD, MN 56560-1961
(218) 233-2650
(218) 233-2928
Mailing address
725 CENTER AVE, SUITE # 2, MOORHEAD, MN 56560-1961
(218) 233-2650
(218) 233-2928
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2018
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8911
BCBS ND
ND
05
—
967523000
—
MN
Enumeration date
01/23/2006
Last updated
09/27/2010
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