Beulah Vision PC

NPI #1881687010 in Beulah, North Dakota

Provider Information

NPI Number: 1881687010
Entity Type: Organization
Organization Name: Beulah Vision PC
Primary Specialty: Optometrist
Enumeration Date: Aug 23, 2005
Last Updated: Jun 26, 2013

Practice Location

Address: 204 W MAIN ST
City: Beulah
State: North Dakota
ZIP Code: 58523
Phone: (701) 873-5251

Authorized Official

Name: MR. MICHAEL J HAMMERSCHMIDT, OD
Title: OPTOMETRIST/OWNER
Phone: (701) 873-5251

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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