Leidenix Pc is a Optometrist in Mandan, North Dakota. Leidenix Pc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Leidenix Pc is 1063602050. The last update date is 2018-10-03.
Leidenix Pc's current location address is 1000 Old Red Trl Nw, Mandan, North Dakota. You can contact this provider via phone number 7016630012 and fax number 7016630522. The mailing address for Leidenix Pc is 1000 Old Red Trl Nw, Mandan, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Leidenix Pc |
|---|---|
| Address | 1000 Old Red Trl Nw, Mandan, North Dakota |
| Phone Number | 7016630012 |
| Fax Number | 7016630522 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Mattson Melissa |
| Telephone Number | 7016630012 |
NPI Number Detail
| NPI Number | 1063602050 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2018-10-03 |
Provider Mailing Address Detail
| Address | 1000 Old Red Trl Nw |
|---|---|
| City | Mandan |
| State | North Dakota (ND) |
| Post Code | 585543052 |
| Phone Number | 7016630012 |
| Fax Number | 7016630522 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 511 |
|
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60631 | ND | -- | |
| 1461913 | ND | -- |
Post Comment/ Review Below
What is the Leidenix Pc's 1063602050?
The Leidenix Pc's NPI (National Provider Identifier) Number is 1063602050. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Leidenix Pc is physically located?
The Leidenix Pc is situated at the following address: 1000 Old Red Trl Nw, Mandan, ND 585543052.
What is Leidenix Pc's area of expertise and its corresponding taxonomy classification?
The Leidenix Pc's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
When was the Leidenix Pc's 1063602050 issued?
The Leidenix Pc's 1063602050 was issued on 2007-07-26.
As of what date were the details related to Leidenix Pc most recently updated or revised?
The information pertaining to Leidenix Pc, including its address, specialty, and other relevant details, was last updated or revised on 2018-10-03.
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