Derek D. Czywczynski O.D.
Optometrist in Hazen, ND(View on Map)
Full Name
Derek David Czywczynski O.D.
NPI Number
1427281583
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/24/2009
Specialties
(Taxonomies)Licenses
State
Nebraska
North Dakota
License Number
1340
681
Contact
Information
Purpose
Mailing
Location
Address
104 12TH AVE NW
104 12TH AVE NW
City
Hazen
Hazen
State
ND
ND
Postal Code
58545-4100
58545-4100
Country
US
US
Telephone Number
(701) 748-5220
(701) 748-5220
Identifiers
Identifier
60698
893357
Identifier State
ND
ND
Identifier Issuer
Unknown
NORTH DAKOTA VISION SERVICES
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
dczywczynski14578873@direct.sanfordhealth.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
506 Beltrami Ave NWBemidji, MN566013010US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/31/2022