Dr. Thomas M. Kilzer - Optometerist - PC
Eyewear Supplier (Equipment, not the service) in Bismarck, ND. Organization (NPI-2).
NPI number1396907010
StatusActive
Last updated in NPPESApr 28, 2011
Details
- NPI
- 1396907010
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Thomas M. Kilzer - Optometerist - PC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2008
- Last updated
- Apr 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | 332 | ND | Yes |
Practice location
1929 N Washington StBismarck, ND 58501-1616
Phone 701-258-6100 · Fax 701-258-9882
Mailing address
1929 N Washington StBismarck, ND 58501-1616
Phone 701-258-6100 · Fax 701-258-9882
Authorized official
Thomas M Kilzer
President
7012586100
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