BLAINE LANDON BURDICK (NPI# 1235393489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235393489 |
| Entity Type | Individual |
| Full Name | BLAINE LANDON BURDICK |
| Credential | O.D. |
| Practice Address |
211 4th St Ne Ste 1 Devils Lake ND 58301-2479 |
| Mailing Address |
211 4th St Ne Ste 1 P O Box 888 Devils Lake ND 58301-2479 |
| Practice Telephone | 7016622817 |
| Practice Fax Number | 7016622040 |
| Mailing Telephone | 7016622817 |
| Mailing Fax Number | 7016622040 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2010-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 675 | ND | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | ND BLUE CROSS/SHIELD | 1235393489 | 01 |
| ND | 60678 | 05 | |
| ND | ND VISION SERVICES | 893212 | 01 |
| Street Address |
211 4TH ST NE STE 1 |
| City | DEVILS LAKE |
| State | ND |
| Zip Code | 58301-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598944373 | Krein and Moen P C | Optometrist | 211 4th St Ne Ste 1, Devils Lake, ND 58301-2479 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
| 1841837663 | Wayne Rance | Pharmacist | 323 5th St Ne Ste 2, Devils Lake, ND 58301 | 2019-12-01 |
| 1639427792 | Donna Rance | Pharmacist | Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 | 2012-08-21 |
| 1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
| 1245534668 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 | 2010-12-28 |
| 1780830208 | Steven L Pederson | Physical Therapist | 404 Fourth Street N, Devils Lake, ND 58301 | 2008-08-15 |
| 1437368768 | Leatha N Vaagen | Physical Therapist | 404 Fourth Street North, Devils Lake, ND 58301 | 2007-05-22 |
| 1770634479 | Becky Fletschock | Pharmacist | Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 | 2007-01-16 |
| 1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
| 1679591929 | Emergency Ambulance of Devils Lake | Ambulance | 314 2nd Ave Se, Devils Lake, ND 58301 | 2006-07-17 |
| Find all providers in zip 58301 | ||||
| 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 |
|---|---|---|---|---|
| 1720632094 | Kaylin Elizabeth Krein | Optometrist | 404- Hwy 2 East, Devils Lake, ND 58301-0130 | 2019-07-25 |
| 1598944373 | Krein and Moen P C | Optometrist | 211 4th St Ne Ste 1, Devils Lake, ND 58301-2479 | 2007-10-30 |
| 1760924856 | Advanced Looks Eye Care PC | Optometrist | 1424 Highway 2 E, Devils Lake, ND 58301-4000 | 2016-11-07 |
| 1275726887 | Carey L Enderle | Optometrist | 404 Hwy 2 East, Devils Lake, ND 58301-0130 | 2007-08-27 |
| 1265539639 | Krein and Moen P C | Optometrist | 404 Hwy 2 East, Devils Lake, ND 58301-0130 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972349 | Minnesota Optometric Eye Doctor, P.a. | Optometrist | 2650 32nd Ave S # Setf3, Grand Forks, ND 58201-6541 | 2020-08-14 |
| 1447879663 | Lumen Vision PC | Optometrist | 5120 Prosperity Way S Ste 114, Fargo, ND 58104-7568 | 2020-04-09 |
| 1376194472 | Vanessa Manlove | Optometrist | 1902 25th Ave S, Fargo, ND 58103-5128 | 2019-09-20 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1235794140 | Joseph S Klabo | Optometrist | 201 7th St Sw Ste 2, Rugby, ND 58368-2100 | 2019-05-06 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1760964795 | Focus Eye Care Prof LLC | Optometrist | 16 W Divide Street, Bowman, ND 58623 | 2018-09-06 |
| 1871031153 | West Fargo Eyecare Associates PC | Optometrist | 3139 Bluestem Dr, Ste 112, West Fargo, ND 58078-8089 | 2017-02-07 |
| 1720447808 | Eyes On Broadway LLC | Optometrist | 311 Broadway N, Fargo, ND 58102-4714 | 2016-02-17 |
| 1386028777 | Carissa Guler | Optometrist | 3902 13th Ave S Ste 256, Fargo, ND 58103-3357 | 2015-07-15 |
| Find all providers with the same taxonomy | ||||
| City | DEVILS LAKE |
| Zip Code | 58301 |
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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.