LIGHTHOUSE OPTICAL INC. (NPI# 1508291626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508291626 |
Entity Type | Organization |
Organization Name | LIGHTHOUSE OPTICAL INC. |
Practice Address |
317 Cooper Ave Grafton ND 58237 |
Practice Telephone | 7013522916 |
Mailing Telephone | 7013522916 |
Enumeration Date | 2013-09-09 |
Last Update Date | 2013-09-09 |
Authorized Official Name | MR. JOHN DAVID MAXWELL (SEC/TRES.) |
Authorized Official Telephone | 7013522916 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
Street Address |
317 COOPER AVE |
City | GRAFTON |
State | ND |
Zip Code | 58237 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245748649 | Alissa Lynn Parsons | Case Manager/Care Coordinator | Chase Building, 2nd Floor, 516 Cooper Avenue, Grafton, ND 58237 | 2018-01-19 |
1770893455 | Krystal L Wheeler | Pharmacist | 544 Hill Ave, Grafton, ND 58237 | 2010-10-15 |
1174846745 | Michael Goldstone | Emergency Medicine | 6645 154th Ave. Ne, Grafton, ND 58237 | 2010-03-10 |
1407067994 | Tara L Shirek | Social Worker | 735 Hill Ave, Suite 203, Grafton, ND 58237 | 2007-05-25 |
1679635973 | Michael Anthony Bryan | Counselor | 728 Hill Avenue, Grafton, ND 58237 | 2006-12-14 |
1669533394 | Valley Ambulance Service Inc | Ambulance | 1317 Griggs Avenue, Grafton, ND 58237 | 2006-12-13 |
1932298544 | White Drug Co of Jamestown Inc | Pharmacy | 737 W 12th St, Grafton, ND 58237 | 2006-10-12 |
1649363144 | Developmental Center Pharmacy | Nursing Facility/Intermediate Care Facility | 701 West 6th Street, Grafton, ND 58237 | 2006-10-02 |
1043224744 | Upper Valley Special Education | Physical Therapist | 516 Cooper Ave, Grafton, ND 58237 | 2006-07-28 |
1437570371 | Ashley Mathiason | Occupational Therapist | 516 Cooper Ave, Grafton, ND 58237 | 2013-12-19 |
Find all providers in zip 58237 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
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1063552719 | Adam Kaminski | Technician/Technologist | 220 Oak St, Grafton, WI 53024-2624 | 2007-02-08 |
1942348131 | Wisconsin Vision, Inc | Technician/Technologist | 1260 N Port Washington Rd, Grafton, WI 53024-9315 | 2007-02-01 |
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1104318575 | Kelsie Ann Butts | Technician/Technologist | 1487 E Lasalle Dr, Bismarck, ND 58503-5653 | 2018-06-01 |
1508283730 | Wal-mart Stores, Inc. | Technician/Technologist | 1424 Highway 2 E, Devils Lake, ND 58301-4000 | 2014-03-26 |
1235578907 | Wal-mart Stores, Inc | Technician/Technologist | 1000 Old Red Trl Ne, Mandan, ND 58554-1591 | 2013-06-17 |
1770833675 | Teresa Lynn Lisburg | Technician/Technologist | 1404 33rd St Sw, Suite 1, Fargo, ND 58103-3482 | 2012-09-18 |
1437451440 | David Pederson | Technician/Technologist | 4551 S Washington St Ste H, Grand Forks, ND 58201-3495 | 2010-11-23 |
1528382900 | Blue Eye Inc | Technician/Technologist | 100 So 4th St, Ste 108, Fargo, ND 58103-1929 | 2010-03-15 |
1619169174 | John Bitz | Technician/Technologist | 210 W Front Ave, Bismarck, ND 58504-5503 | 2007-08-17 |
1649343930 | Douglas John Stavenger | Technician/Technologist | 1547 So University Dr, Fargo, ND 58103 | 2006-11-16 |
1104906940 | Wal-mart Stores, Inc. | Technician/Technologist | 2003 3rd Ave W, Dickinson, ND 58601-3024 | 2006-10-16 |
1316037591 | Sam's Club Optical | Technician/Technologist | 2501 32nd Ave S, Grand Forks, ND 58201-6542 | 2006-10-16 |
Find all providers with the same taxonomy |
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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.