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NORTHERN LIGHTS OPTICAL INC NPI 1841381811


NPI Information

NPI: 1841381811
Provider Name: NORTHERN LIGHTS OPTICAL INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
620 N 9TH ST
BISMARCK, ND
ZIP 58501
Phone: (701) 258-6776
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NORTHERN LIGHTS OPTICAL INC is a durable medical equipment medical supplies in Bismarck, ND. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. NORTHERN LIGHTS OPTICAL INC NPI is 1841381811. The provider is registered as an organization entity type.

The provider's business location address is:

620 N 9TH ST
BISMARCK, ND
ZIP 58501-112
Phone: (701) 258-6776
Fax: (701) 258-6848

The provider's authorized official is Janel Patchen .
The authorized official title is Optician and has the following contact phone number (701) 258-6776.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 6/8/2012.


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
1332B00000XDurable Medical Equipment & Medical Supplies165753 00NORTH DAKOTAYes

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
14239890001MEDICARE NSCNORTH DAKOTA
252593MEDICAIDNORTH DAKOTA
34239890001MEDICARE ID-TYPE UNSPECIFIEDNORTH 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: 4/28/2024

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