Organization Name: | EYES ON PARKWAY PC |
NPI Number: | 1679631477 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TODD A KELSCH (PRESIDENT) |
Mailing Address: | 2331 Tyler Pkwy Suite 2 Bismarck |
State: | ND US |
Postal Code: | 585030871 |
Phone Number: | 7012584384 |
Fax Number: | 7012584394 |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 01/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |