NPI 1063602050

Leidenix PC

Organisation Optometrist Bismarck, ND

Practice location

Address: 1400 Skyline Blvd, Bismarck, ND 58503-1613
Phone: (701) 255-4117
Fax: (701) 255-4174
Mailing address: 1000 Old Red Trl NW, Mandan, ND 58554-3052

Authorised official

Name: Melissa Mattson
Title: Manager
Phone: (701) 663-0012

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 511 (ND)

Other Optometrist providers in North Dakota →

Registry record

NPI: 1063602050
Entity type: Organization
NPI issued: 26 Jul 2007
Record last updated: 3 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.