North Dakota Eye Clinic, LTD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

NORTH DAKOTA EYE CLINIC, LTD

Practice address

1820 S 42ND St.
North Dakota Eye Clinic, LTD
Grand Forks, ND 58201-5820

Phone

(701) 775-3151

Fax

(701) 775-3153

NPI assigned

Jan 12, 2007

Last updated

May 11, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark L. Sczepanski, MDNPI 1295731040

Title

President

Phone

(701) 775-3151

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• North Dakota Eye Clinic, LTD

  • Specialist
  • Grand Forks, ND
  • NPI 1972563815

  0648262808

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

North Dakota Eye Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Dakota Eye Clinic, LTD

  • Specialist
  • Grand Forks, ND
  • NPI 1972563815
  NPD tax ID

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Lee Sczepanski, M.D.

  • Ophthalmology Physician
  • Grand Forks, ND
  • NPI 1295731040
  NPD (past) Authorized official
• Kristina Aikens

  • Optometrist
  • Grand Forks, ND
  • NPI 1407416019
  NPD (past)
• Terra L Boettcher, OD

  • Optometrist
  • Grand Forks, ND
  • NPI 1124125901
  NPD (past)
• Thomas Stephen Dunham, O.D.

  • Optometrist
  • Grand Forks, ND
  • NPI 1982601357
  NPD (past)
• Gerald R. Gaul, M.D.

  • Ophthalmology Physician
  • Grand Forks, ND
  • NPI 1801893490
  NPD (past)
• Gary L. Karlstad, M.D.

  • Specialist
  • Grand Forks, ND
  • NPI 1457356099
  NPD (past)
• Julie Lagodinski-Christian, O.D.

  • Optometrist
  • Grand Forks, ND
  • NPI 1386626976
  NPD (past)
• Jadyn Nelson

  • Optometrist
  • Grand Forks, ND
  • NPI 1538853775
  NPD (past)
• Thomas Peter Dowhan, MD

  • Ophthalmology Physician
  • Saint Albans, VT
  • NPI 1770521015
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1023168663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 DEMERS AVE",
            "address_2": "NORTH DAKOTA EYE CLINIC, LTD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014040",
            "telephone_number": "701-775-3151",
            "fax_number": "701-775-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 S 42ND ST.",
            "address_2": "NORTH DAKOTA EYE CLINIC, LTD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015820",
            "telephone_number": "701-775-3151",
            "fax_number": "701-775-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DAKOTA EYE CLINIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "SCZEPANSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-775-3151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10080",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "655224200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauryn Nordine
• Melissa Nordrum
• Brandon K Nordstrom, OTR/L
• Parker Nordstrom
• Sherman Normandin, PHD
• North Dakota Eye Clinic, LTD
• North Dakota Surgery Center, LLC
• Northeast Behavioral Health Clinic
• Northeast Behavioral Health Clinic
• Northeast Human Service Center

• Eyewear Supplier in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Eyewear Supplier in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.