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NORTH DAKOTA EYE CLINIC LTD NPI 1023168663


NPI Information

NPI: 1023168663
Provider Name: NORTH DAKOTA EYE CLINIC, LTD
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1820 S 42ND ST.
NORTH DAKOTA EYE CLINIC, LTD
GRAND FORKS, ND
ZIP 58201
Phone: (701) 775-3151
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NORTH DAKOTA EYE CLINIC, LTD is an eyewear supplier in Grand Forks, ND. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. NORTH DAKOTA EYE CLINIC, LTD NPI is 1023168663. The provider is registered as an organization entity type.

The provider's business location address is:

1820 S 42ND ST.
NORTH DAKOTA EYE CLINIC, LTD
GRAND FORKS, ND
ZIP 58201-820
Phone: (701) 775-3151
Fax: (701) 775-3153

The provider's authorized official is Mark L. Sczepanski .
The authorized official title is President and has the following contact phone number (701) 775-3151.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 5/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110080MEDICAIDNORTH DAKOTA
2655224200MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.