EYE CONSULTANTS OF FARGO, PLLC (NPI# 1083191985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083191985 |
| Entity Type | Organization |
| Organization Name | EYE CONSULTANTS OF FARGO, PLLC |
| Practice Address |
100 4th St S Ste 612 Fargo ND 58103-1940 |
| Practice Telephone | 7012350561 |
| Practice Fax Number | 7012350330 |
| Mailing Telephone | 2184436201 |
| Mailing Fax Number | 7012350330 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-09-26 |
| Authorized Official Name | MICHELLE K ATCHISON (PRESIDENT) |
| Authorized Official Telephone | 2184436201 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 4th St S Ste 612, Fargo, ND 581031940 | 7012350561 | 7012350330 |
| Street Address |
100 4TH ST S STE 612 |
| City | FARGO |
| State | ND |
| Zip Code | 58103-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447348602 | Fercho Cataract & Eye Clinic, Inc. | Ophthalmology | 100 4th St S Ste 612, Fargo, ND 58103-1940 | 2006-10-11 |
| 1306089750 | Anne Keating | Ophthalmology | 100 4th St S Ste 612, Fargo, ND 58103-1940 | 2009-04-15 |
| 1659563039 | Michelle Kim Atchison | Ophthalmology | 100 4th St S Ste 612, Fargo, ND 58103-1940 | 2007-08-09 |
| 1588749337 | Fercho Cataract and Eye Clinic | Durable Medical Equipment & Medical Supplies | 100 4th St S Ste 612, Fargo, ND 58103-1940 | 2006-10-26 |
| 1043308372 | Harold T Rodenbiker | Ophthalmology | 100 4th St S Ste 612, Fargo, ND 58103-1940 | 2006-10-11 |
| 1174611438 | Paul R Melicher | Optometrist | 100 4th St S Ste 612, Fargo, ND 58103-1940 | 2006-10-11 |
| 1982792297 | Thomas L Hanson | Ophthalmology | 100 4th St S Ste 612, Fargo, ND 58103-1940 | 2006-10-11 |
| 1336237684 | David E Grosz | Ophthalmology | 100 4th St S Ste 612, Fargo, ND 58103-1940 | 2006-10-11 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558724492 | Vance Thompson Vision Nd Prof LLC | Ophthalmology | 4776 28th Ave S, Suite 201, Fargo, ND 58104-8523 | 2016-03-29 |
| 1447348602 | Fercho Cataract & Eye Clinic, Inc. | Ophthalmology | 100 4th St S Ste 612, Fargo, ND 58103-1940 | 2006-10-11 |
| 1487747267 | Steven M Bagan | Ophthalmology | 4344 20th Ave S, Fargo, ND 58103-4434 | 2006-10-02 |
| 1841212404 | Thomas I Strinden | Ophthalmology | 4344 20th Ave Sw, Fargo, ND 58103-7436 | 2006-07-24 |
| 1487641817 | Gary Donald Haynie | Ophthalmology | 4642 Amber Valley Pkwy S, Fargo, ND 58104-8612 | 2005-09-30 |
| 1659373876 | Jennifer R. Olbum | Ophthalmology | 1717 University Dr S, Fargo, ND 58103-4939 | 2005-06-01 |
| 1275862344 | Steven M Bagan, Md PC | Ophthalmology | 4344 20th Ave S, Fargo, ND 58103-7436 | 2009-12-18 |
| 1750519153 | Dane Arthur Breker | Ophthalmology | 700 1st Ave S, Fargo, ND 58103-1802 | 2009-06-24 |
| 1306089750 | Anne Keating | Ophthalmology | 100 4th St S Ste 612, Fargo, ND 58103-1940 | 2009-04-15 |
| 1821233073 | Steven B Thom, Md PC | Ophthalmology | 2601 University Dr S, Fargo, ND 58103-6025 | 2008-12-02 |
| 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.