DR. MICHAEL G. KOSTELECKY (NPI# 1326102542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326102542 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL G. KOSTELECKY |
| Credential | O.D. |
| Practice Address |
2331 Tyler Parkway Suite 2 Bismarck ND 58503 |
| Practice Telephone | 7012584384 |
| Practice Fax Number | 7012584394 |
| Mailing Telephone | 7012584384 |
| Mailing Fax Number | 7012584394 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2008-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 463 | ND | Eye and Vision Services Providers |
| Street Address |
2331 TYLER PARKWAY SUITE 2 |
| City | BISMARCK |
| State | ND |
| Zip Code | 58503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951503 | Community Options for Residential and Employment Services, Inc | Community/Behavioral Health | 4909 Shelburne St, Bismarck, ND 58503 | 2020-08-03 |
| 1104460476 | Brittany Lee Feil | Registered Nurse | 808 N Washington St., Bismarck, ND 58503 | 2019-10-30 |
| 1760030670 | Rachel Lees | Technician | 1727 Valley Drive, Bismark, ND 58503 | 2019-09-04 |
| 1700444619 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 807 East Main Suite A, Bismarck, ND 58503 | 2019-06-05 |
| 1881162972 | White Drug Co of Jamestown Inc | Pharmacy | 900 Ne 43rd Ave, Bismarck, ND 58503 | 2018-11-06 |
| 1104347137 | Adapt, Inc. | Counselor | 1720 Burnt Boat Drive, Suite 108, Bismarck, ND 58503 | 2017-06-29 |
| 1679010953 | Optimum Therapies of North Dakota, Inc | Physical Therapist | 4204 Boulder Ridge Rd, Suite 100, Bismarck, ND 58503 | 2017-01-25 |
| 1972954162 | Ava Burckhard | Speech-Language Pathologist | 4501 Coleman St N Suite #103, Pediatric Therapy Partners, Bismarck, ND 58503 | 2016-06-29 |
| 1306292842 | Margaret Williams | Nurse Practitioner | 4315 Ottawa St, Bismarck, ND 58503 | 2016-05-13 |
| 1649638958 | Horizon Chiropractic & Wellness PC | Chiropractor | 4535 Northern Sky Dr., Bismarck, ND 58503 | 2016-02-01 |
| Find all providers in zip 58503 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366794604 | Melissa Ann Abrahamson | Optometrist | 1830 E Century Ave Unit 1, Bismarck, ND 58503-0639 | 2012-10-10 |
| 1972812063 | Jessica Keller | Optometrist | 4401 Coleman St Ste 102, Bismarck, ND 58503-1371 | 2010-10-06 |
| 1205968971 | Tom L Deis | Optometrist | 204 West Century Ave, Bismarck, ND 58503 | 2007-03-09 |
| 1154468767 | Marty J. Mrachek Od Ltd | Optometrist | 537 S 7th St, Bismarck, ND 58504-5859 | 2007-01-31 |
| 1104963099 | Marty Mrachek | Optometrist | 537 S. 7th St, C/o Nationwide Vision, Bismarck, ND 58504-5859 | 2007-01-31 |
| 1972612075 | Shanon S Bencker | Optometrist | 738 Kirkwood Mall, Midwest Vision Centers, Bismarck, ND 58504 | 2006-08-30 |
| 1558470401 | Nichol K Dillavou | Optometrist | 2821 Rock Island Pl, Bismarck, ND 58504 | 2006-08-30 |
| 1609894054 | Drs Schindler & Deis PC | Optometrist | 204 W Century Ave, Bismarck, ND 58503-1494 | 2006-07-17 |
| 1669401527 | Leidenix PC | Optometrist | 2717 Rock Island Place, Suite 2, Bismarck, ND 58504-7724 | 2006-07-02 |
| 1437197191 | Brian C Beattie | Optometrist | 1929 N Washington St Ste Aa, Bismarck, ND 58501-1616 | 2006-06-03 |
| Find all providers in BISMARCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.