SANFORD MEDICAL CENTER FARGO (NPI# 1811277114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811277114 |
| Entity Type | Organization |
| Organization Name | SANFORD MEDICAL CENTER FARGO |
| Other Organization Name | SANFORD HEALTH VALLEY CITY EYE CENTER & OPTICAL |
| Practice Address |
253 Central Ave N Valley City ND 58072-2941 |
| Practice Telephone | 7018451511 |
| Mailing Telephone | 7018451511 |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2019-11-26 |
| Authorized Official Name | MARTHA LECLERC (VICE PRESIDENT) |
| Authorized Official Telephone | 7012346248 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Sanford Health Valley City Eye Center & Optical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245519081 | Sanford Medical Center Fargo | General Acute Care Hospital | 2990 Seter Parkway, Fargo, ND 58104-8750 | 2011-08-10 |
| 1558458844 | Sanford Medical Center Fargo | Pharmacy | 1720 S University Drive, Fargo, ND 58103-4940 | 2006-10-06 |
| 1578508198 | Sanford Medical Center Fargo | Clinic/Center | 1234 Washington Ave Ste B, Detroit Lakes, MN 56501-3906 | 2006-06-18 |
| 1225635634 | Sanford Medical Center Fargo | Pharmacy | 1720 University Dr S, Fargo, ND 58103-4940 | 2020-10-08 |
| 1174120281 | Sanford Medical Center Fargo | Pharmacy | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-10-02 |
| 1013559905 | Sanford Medical Center Fargo | Hospice Care, Community Based | 801 Broadway N, Fargo, ND 58102-3641 | 2019-10-11 |
| 1366092801 | Sanford Medical Center Fargo | Hospice Care, Community Based | 820 4th St N, Fargo, ND 58102-4539 | 2019-09-17 |
| 1861927709 | Sanford Medical Center Fargo | Pharmacy | 5225 23rd Ave S, Fargo, ND 58104 | 2017-04-28 |
| 1801151394 | Sanford Medical Center Fargo | Clinic/Center | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2012-07-10 |
| 1366717118 | Sanford Medical Center Fargo | Clinic/Center | 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2012-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SANFORD MEDICAL CENTER FARGO | 720 N 4th St, Fargo, ND 58122-4520 |
| Street Address |
253 CENTRAL AVE N |
| City | VALLEY CITY |
| State | ND |
| Zip Code | 58072-2941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477583466 | Joy M Quitberg | Optometrist | 253 Central Ave N, Valley City, ND 58072-2941 | 2006-07-04 |
| 1427077361 | Sanford Clinic North | Eyewear Supplier (Equipment, not the service) | 253 Central Ave N, Valley City, ND 58072-2941 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376063693 | Casey Skramstad | Adult Companion | 943 13th Ave Sw, Valley City, ND 58072 | 2017-06-27 |
| 1750656310 | Scott Mcneal | Specialist | 1028 West Main St, Valley City, ND 58072 | 2012-03-15 |
| 1447560164 | Lemont William Jahn | Pharmacist | 148 S Central Avenue, Valley City, ND 58072 | 2010-10-15 |
| 1104000124 | Janice Kay Gabriel Johnson | Occupational Therapist | 136 2nd Ave Ne, Valley City, ND 58072 | 2007-12-27 |
| 1194926659 | Barnes County Ambulance Inc | Emergency Medical Technician, Paramedic | 914 11th Ave Sw, Valley City, ND 58072 | 2007-05-30 |
| 1649332461 | Craig A Wagamon | Nurse Anesthetist, Certified Registered | 206 8th St Nw, Valley City, ND 58072 | 2006-12-15 |
| 1235204389 | Open Door Center | Intermediate Care Facility, Mentally Retarded | 209 2nd Street Se, Valley City, ND 58072 | 2006-11-22 |
| 1215001706 | Barbara E Owen | Speech-Language Pathologist | Sheyenne Care Center, 979 No Central Ave, Valley City, ND 58072 | 2006-11-17 |
| 1891877239 | Central Avenue Chiropractic PC | Chiropractor | 323 Central Avenue North, Suite 202, Valley City, ND 58072 | 2006-10-19 |
| 1831271287 | Larry Edwin Sayler | Chiropractor | 323 North Central Avenue, Suite 202, Valley City, ND 58072 | 2006-10-19 |
| Find all providers in zip 58072 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982786604 | Norma J Jesse | Optometrist | 6621 Center Rd, Valley City, OH 44280-9748 | 2006-10-20 |
| 1730261843 | L H Sayler | Optometrist | 200 Central Ave N, Valley City, ND 58072-2924 | 2006-10-19 |
| 1477583466 | Joy M Quitberg | Optometrist | 253 Central Ave N, Valley City, ND 58072-2941 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972349 | Minnesota Optometric Eye Doctor, P.a. | Optometrist | 2650 32nd Ave S # Setf3, Grand Forks, ND 58201-6541 | 2020-08-14 |
| 1447879663 | Lumen Vision PC | Optometrist | 5120 Prosperity Way S Ste 114, Fargo, ND 58104-7568 | 2020-04-09 |
| 1376194472 | Vanessa Manlove | Optometrist | 1902 25th Ave S, Fargo, ND 58103-5128 | 2019-09-20 |
| 1720632094 | Kaylin Elizabeth Krein | Optometrist | 404- Hwy 2 East, Devils Lake, ND 58301-0130 | 2019-07-25 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1235794140 | Joseph S Klabo | Optometrist | 201 7th St Sw Ste 2, Rugby, ND 58368-2100 | 2019-05-06 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1760964795 | Focus Eye Care Prof LLC | Optometrist | 16 W Divide Street, Bowman, ND 58623 | 2018-09-06 |
| 1871031153 | West Fargo Eyecare Associates PC | Optometrist | 3139 Bluestem Dr, Ste 112, West Fargo, ND 58078-8089 | 2017-02-07 |
| 1720447808 | Eyes On Broadway LLC | Optometrist | 311 Broadway N, Fargo, ND 58102-4714 | 2016-02-17 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY CITY |
| Zip Code | 58072 |
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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.