Forks Optometric LTD

PAC ID

2567365794The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice

Enrolled in

MN

Enrollments

3

Group size

3 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

4In 2 places

Enrollment records 3

These NPI records belong to the same enrolled organization. Each has its own page.

• Forks Optometric, LTD.

  dba Opticare

  • Optometrist
  • East Grand Forks, MN
  • NPI 1144357211
• Forks Optometric, LTD.

  dba Opticare

  • Eyewear Supplier
  • Crookston, MN
  • NPI 1942578562

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).

• Destin Ross Coles, O.D.

  • Optometrist
  • East Grand Forks, MN
  • NPI 1275695025
• Steven Phillip Gander, O.D.

  • Optometrist
  • East Grand Forks, MN
  • NPI 1376639476
• Bruce A. Storhaug, O.D.

  • Optometrist
  • East Grand Forks, MN
  • NPI 1275561482

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.