John Gregory Dye, O.D.
Individual provider Active NPI Optometrist · West Fargo, ND
NPI 1003085523 · NPPES record last updated Nov 8, 2022
Key facts
- NPI
- 1003085523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- ND 378 (ND)
- Practice address
- 1207 Prairie Pkwy
West Fargo, ND 58078-3145 - Phone
- (701) 282-2020
- Fax
- (701) 282-0230
- NPI assigned
- Feb 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 378 | ND | MD | Optometrist |
| 378 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinic FHSC PC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ND 378 | ND | Yes |
Addresses
Primary practice location
1207 Prairie Pkwy
West Fargo, ND 58078-3145
Mailing address
1207 Prairie Pkwy
West Fargo, ND 58078-3145
Phone (701) 282-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60533 | Medicaid | ND |
Other providers in West Fargo, ND
- Jenna Drayton
- Aimee Duciaume
- Leya Durgin
- Sarah Dutt
- Robert D Dvorak
- Anna Dyk
- Paige Earnest
- Mikenzie Eckroth
- Jill L Ehrmantraut
- Quinn Eisch
All providers in West Fargo, ND · Optometrist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.