SANFORD SOUTH UNIVERSITY EYE CENTER & OPTICAL
NPI 1689694317
Eyewear Supplier in Fargo, ND

NPI Status: Active since July 19, 2006

Contact Information

1717 UNIVERSITY DR S
FARGO, ND
ZIP 58103
Phone: (701) 461-5194
Fax: (701) 461-5196

Get Directions Reviews

  • Organization
  • Eyewear Supplier
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About SANFORD SOUTH UNIVERSITY EYE CENTER & OPTICAL

This page provides the complete NPI Profile along with additional information for Sanford South University Eye Center & Optical, a provider established in Fargo, North Dakota operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1689694317 assigned on July 2006. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Sanford South University Eye Center & Optical. The authorized official of this NPI record is Tony Lee Morrison (Vp Revenue Cycle)

NPI
1689694317
Provider Legal Name
SANFORD MEDICAL CENTER FARGO
Other Organization Name
SANFORD SOUTH UNIVERSITY EYE CENTER & OPTICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1717 UNIVERSITY DR S FARGO, ND 58103
Location Phone
(701) 461-5194
Location Fax
(701) 461-5196
Mailing Address
PO BOX 2168 FARGO, ND 58107
Mailing Phone
(701) 234-2119
Mailing Fax
(701) 461-5196
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2006
Last Update Date
09-11-2024
Code Navigator



Sanford South University Eye Center & Optical is a medicare supplier with PTAN 34359038 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,000 - HMO
  • Sanford Individual TRUE $7,100 HSA Qualified - HMO
  • Sanford Individual TRUE $9,200 - HMO
  • Sanford Individual TRUE Standardized $1,500 - HMO
  • Sanford Individual TRUE Standardized $5,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TONY LEE MORRISON

Authorized Official Title
VP REVENUE CYCLE
Authorized Official Phone
(605) 328-8380

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
876461100MEDICAID (05)MN 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
34359038
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses

Reviews for SANFORD SOUTH UNIVERSITY EYE CENTER & OPTICAL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689694317
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26169129832
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 2 + 9 + 8 + 3 + 2 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1689694317 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750632352 BRIANNA SRNSKY LRD
Individual
Dietitian, Registered1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 280-4474
1346262912 DEBORAH B ROERIG CNS
Individual
Clinical Nurse Specialist1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 234-2000
1972938843 AMBER D STROBEL NP
Individual
Nurse Practitioner (Family)1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 234-4111
1790060846 ALISON RAE MOSES
Individual
Optometrist1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 234-2119
1598262545 LEANN ELIZABETH CZAPIEWSKI LRD
Individual
Dietitian, Registered1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 234-4111
1215211750 KELSEY R HERRICK LRD
Individual
Dietitian, Registered1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 234-2000
1164512273 KATHERINE S OLSON LRD
Individual
Dietitian, Registered1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 234-2000
1659373876DR. JENNIFER R. OLBUM DO
Individual
Ophthalmology1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 461-5100
1306863261 KIMBERLY A GILBERTSON OD
Individual
Optometrist1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 461-5100
1487972972DR. SUGONG CHEN M.D.
Individual
Surgery1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 234-2000
1588962781DR. WILLIAM J BOGGESS D.M.D., M.D.
Individual
Oral & Maxillofacial Surgery1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 417-4640
1225013022DR. KAREL A DELEEUW M.D.
Individual
Oral & Maxillofacial Surgery1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 234-2000
1104282359 KATAYOON BARADARAN EBRAHIMI M.D.
Individual
Ophthalmology1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 461-5100
1992723563 ANDREW A JORDAN MD
Individual
Ophthalmology1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 461-5000
1417255191 ELLEN DELORES VOGELS D.O.
Individual
Surgery1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 234-2000
1174229595DR. LAUREN MARIE SCHAEFER PHD, LP
Individual
Psychologist1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 234-4111
1659088748 JESSIE PECKA NP
Individual
Nurse Practitioner1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 234-2000
1710104401MRS. ERIN S WALTERS RD
Individual
Dietitian, Registered1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 234-2000
1518991678DR. STEVEN KENT ANDERSON M.D.
Individual
Ophthalmology1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 234-2305
1306045984 DAARON A MCFIELD MD
Individual
Surgery1717 UNIVERSITY DR S
FARGO, ND 58103
(701) 234-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689694317, enumerated in the NPI registry as an "organization" on July 19, 2006

The provider is located at 1717 University Dr S Fargo, Nd 58103 and the phone number is (701) 461-5194

This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X

The provider might be accepting Accepts: Sanford Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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