LISBON VISION CENTER P.C. NPI 1407896673

NPI Information

NPI: 1407896673
Provider Name: LISBON VISION CENTER, P.C.
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address: 17 11TH AVENUE WEST
LISBON, ND
ZIP 58054
Phone: (701) 683-5815

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NPI Details

LISBON VISION CENTER, P.C. is an optometrist in Lisbon, ND. The provider is 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. LISBON VISION CENTER, P.C. NPI is 1407896673. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17 11TH AVENUE WEST
LISBON, ND
ZIP 58054-916
Phone: (701) 683-5815
Fax: (701) 683-9966

The provider's authorized official is Corey Ray Mairs .
The authorized official title is President and has the following contact phone number (701) 683-5815.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 10/8/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		638	NORTH DAKOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1407896673	OTHER	NORTH DAKOTA	WCP WORKERS COMP
2	N711962	MEDICARE PIN	NORTH DAKOTA
3	60633	MEDICAID	NORTH DAKOTA
4	5793850001	MEDICARE NSC	NORTH DAKOTA

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: 11/21/2025

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