S SJOBERG PLC NPI 1477961019

NPI Information

  • NPI: 1477961019
  • Provider Name: S SJOBERG PLC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • CLIA Number: 24D2059921
  • Address: 7636 DESIGN RD
    SUITE 105
    BAXTER, MN
    ZIP 56425
  • Phone: (218) 825-1976

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NPI Details

S SJOBERG PLC is an ophthalmology in Baxter, MN. The provider is 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. S SJOBERG PLC NPI is 1477961019. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7636 DESIGN RD
SUITE 105
BAXTER, MN
ZIP 56425-677
Phone: (218) 825-1976
Fax: (218) 828-9869

The provider's authorized official is Stacy Ann Sjoberg .
The authorized official title is Sole Proprietor and has the following contact phone number (218) 546-5108.

The CLIA number assigned to this NPI record is 24D2059921 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2014 and was last updated on 3/16/2015.

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
1152W00000XOptometristNo
2152WC0802XOptometristCorneal and Contact ManagementNo
3152WL0500XOptometristLow Vision RehabilitationNo
4152WP0200XOptometristPediatricsNo
5152WS0006XOptometristSports VisionNo
6152WV0400XOptometristVision TherapyNo
7152WX0102XOptometristOccupational VisionNo
8207W00000XOphthalmologyYes

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
17266550002MEDICARE NSCMINNESOTA

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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