Deis, Tom L
Deis, Tom L is an individual health care provider with primary practice located at 204 West Century Ave , Bismarck ND 58503. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Deis, Tom L can be contacted via phone (701) 255-0186.Contact Information
Primary practice address
204 West Century Ave
Bismarck ND 58503
Phone: (701) 255-0186
Fax: (701) 255-3975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 517 | North Dakota |
Profile Details
| NPI number | 1205968971 |
|---|---|
| LBN Legal business name | Deis, Tom L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Aug 14th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205968971 | NPPES |
| North Dakota | Other | 005179 | BCBS |
| North Dakota | MEDICAID | 60453 | BCBS |
| North Dakota | Other | 800517 | BCBS |
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