MR. ROBERT A DICKEN (NPI# 1568554285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568554285 |
| Entity Type | Individual |
| Full Name | MR. ROBERT A DICKEN |
| Credential | MD |
| Practice Address |
404 Hwy 2 E Devils Lake ND 58301-0130 |
| Mailing Address |
Po Box 130 Devils Lake ND 58301-0130 |
| Practice Telephone | 7016624085 |
| Practice Fax Number | 7016626010 |
| Mailing Telephone | 7016624085 |
| Mailing Fax Number | 7016626010 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2012-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 5595 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRAVELERS MEDICARE | 180043931 | 01 | |
| BLUE SHIELD MN | 292T7DI | 01 | |
| MN | 1568554285 | 05 | |
| ND | 11630 | 05 | |
| TRAVELERS MEDICARE | 18005266 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275808834 | Robert Joseph Dicken | Pharmacist | 3001 E Market St, Greensboro, NC 27405-7525 | 2012-03-15 |
| Street Address |
404 HWY 2 E |
| City | DEVILS LAKE |
| State | ND |
| Zip Code | 58301-0130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326130055 | Northeast Eye Center PC | Ophthalmology | 404 Hwy 2 E, Devils Lake, ND 58301-0130 | 2006-09-29 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326130055 | Northeast Eye Center PC | Ophthalmology | 404 Hwy 2 E, Devils Lake, ND 58301-0130 | 2006-09-29 |
| 1992897615 | Lee Dannenberg | Ophthalmology | 404 Highway 2 East, Devils Lake, ND 58301-0130 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558724492 | Vance Thompson Vision Nd Prof LLC | Ophthalmology | 4776 28th Ave S, Suite 201, Fargo, ND 58104-8523 | 2016-03-29 |
| 1538594379 | Gregory Scott Emfield | Ophthalmology | 4440 S Washington St- Altru Professional Center, Grand Forks, ND 58201 | 2013-09-12 |
| 1649462037 | Retina Consultants, Ltd | Ophthalmology | 4350 S Washington St, Suite #112, Grand Forks, ND 58201-7184 | 2007-08-10 |
| 1447348602 | Fercho Cataract & Eye Clinic, Inc. | Ophthalmology | 100 4th St S Ste 612, Fargo, ND 58103-1940 | 2006-10-11 |
| 1487747267 | Steven M Bagan | Ophthalmology | 4344 20th Ave S, Fargo, ND 58103-4434 | 2006-10-02 |
| 1841212404 | Thomas I Strinden | Ophthalmology | 4344 20th Ave Sw, Fargo, ND 58103-7436 | 2006-07-24 |
| 1447297189 | Aaron C Fortney | Ophthalmology | 3119 N 14th St, Bismarck, ND 58503-0664 | 2006-06-01 |
| 1659328516 | Thomas J Grube | Ophthalmology | 107 3rd Ave Nw, Mandan, ND 58554-3129 | 2006-05-27 |
| 1255386223 | Trinity Health | Ophthalmology | 120 Burdick Expy E, Minot, ND 58701-4434 | 2006-05-24 |
| 1649249723 | Mark C Raymond | Ophthalmology | 1321 W Dakota Pkwy, Williston, ND 58801-3807 | 2006-03-14 |
| 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.