Lifetime Vision Center, Llc | |
2900 S Columbia Rd, Grand Forks, ND 58201-6070 | |
(701) 746-6745 | |
(701) 746-6961 |
Full Name | Lifetime Vision Center, Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 2900 S Columbia Rd, Grand Forks, North Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750591962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ND464 (North Dakota) | Primary |
152W00000X | Optometrist | ND569 (North Dakota) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Lifetime Vision Center, Llc 2900 S Columbia Rd, Grand Forks, ND 58201-6070 Ph: (701) 746-6745 | Lifetime Vision Center, Llc 2900 S Columbia Rd, Grand Forks, ND 58201-6070 Ph: (701) 746-6745 |
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Terra L Boettcher, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 Phone: 701-732-7000 | |
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