DOUG'S OPTICAL, INC (NPI# 1215351440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215351440 |
| Entity Type | Organization |
| Organization Name | DOUG'S OPTICAL, INC |
| Practice Address |
1547 University Dr S Fargo ND 58103-4156 |
| Practice Telephone | 7012355185 |
| Practice Fax Number | 7012324965 |
| Mailing Telephone | 7012355185 |
| Mailing Fax Number | 7012324965 |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-05-07 |
| Authorized Official Name | DOUGLAS J STAVENGER (OWNER) |
| Authorized Official Telephone | 7012355185 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 332H00000X | ND | Suppliers |
| Street Address |
1547 UNIVERSITY DR S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-4156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114250834 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 3757 55th Ave So, Fargo, ND 58104 | 2009-09-14 |
| 1083738835 | Walman Optical Company | Eyewear Supplier (Equipment, not the service) | 1404 33rd St S, Suite K, Fargo, ND 58103-3482 | 2007-03-19 |
| 1679619464 | Sinkler Optical Fm Inc | Eyewear Supplier (Equipment, not the service) | 100 South 4th Street, Fargo, ND 58103 | 2007-01-29 |
| 1245301852 | Mrg Inc | Eyewear Supplier (Equipment, not the service) | 2810 North Broadway, Fargo, ND 58102-1420 | 2006-11-13 |
| 1770668329 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | Interstate 29 & 13th Avenue S, Fargo, ND 58103 | 2006-10-25 |
| 1174539498 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 3902 13th Ave S # I-29, Fargo, ND 58103-3357 | 2006-07-31 |
| 1538567680 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4302 13th Ave S, Ste. 6, Fargo, ND 58103-3395 | 2014-12-05 |
| 1316224934 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3902 13th Ave S, Ste. 406, Fargo, ND 58103-3357 | 2011-11-10 |
| 1891075198 | Sanford Medical Center Fargo | Eyewear Supplier (Equipment, not the service) | 1717 University Dr S, Fargo, ND 58103-4939 | 2011-08-18 |
| 1700166006 | Sanford Medical Center Fargo | Eyewear Supplier (Equipment, not the service) | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2011-08-18 |
| Find all providers in FARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.