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SANFORD MEDICAL CENTER FARGO NPI 1700166006


NPI Information

NPI: 1700166006
Provider Name: SANFORD MEDICAL CENTER FARGO

Doing Business As: SANFORD SOUTHPOINTE EYE CENTER & OPTICAL

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 35D0408444

Address:
2400 32ND AVE S
FARGO, ND
ZIP 58103
Phone: (701) 234-3640
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SANFORD MEDICAL CENTER FARGO is an optometrist in Fargo, 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. SANFORD MEDICAL CENTER FARGO NPI is 1700166006. The provider is registered as an organization entity type.
The provider Is Doing Business As Sanford Southpointe Eye Center & Optical.

The provider's business location address is:

2400 32ND AVE S
FARGO, ND
ZIP 58103-800
Phone: (701) 234-3640

The provider's authorized official is Martha Leclerc .
The authorized official title is Vice President and has the following contact phone number (701) 234-6248.

The CLIA number assigned to this NPI record is 35D0408444 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/18/2011 and was last updated on 9/9/2019.


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 SupplierNo
2152W00000XOptometristYes

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: 11/14/2023

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