Fergus Falls Optometric Center, LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2099 Issued in MN

Legal business name

FERGUS FALLS OPTOMETRIC CENTER, LTD

Practice address

117 E Lincoln Ave
Fergus Falls, MN 56537-2216

Phone

(218) 736-7555

Fax

(218) 739-6586

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Duane Olmsted, O.D.NPI 1699713883

Title

Co-Owner Optometrist

Phone

(218) 736-7555

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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

Locations

Practitioners 2

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 Duane Olmsted, O.D.

  • Optometrist
  • Fergus Falls, MN
  • NPI 1699713883
  NPD Authorized official
• Christine Angelena Olmsted, O.D.

  • Optometrist
  • Fergus Falls, MN
  • NPI 1306884580
  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1073698601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E LINCOLN AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372216",
            "telephone_number": "218-736-7555",
            "fax_number": "218-739-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E LINCOLN AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372216",
            "telephone_number": "218-736-7555",
            "fax_number": "218-739-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUS FALLS OPTOMETRIC CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "OLMSTED",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "CO-OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "218-736-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185787800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47844FE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fergus Falls Community Counseling
• Fergus Falls Dental Group
• Fergus Falls Family Counseling
• Fergus Falls Medical Group, P.a.
• Fergus Falls Medical Group, P.a.
• Fergus Falls Regional Treatment Center
• Fergus Falls Vision Care PA
• Debra Rose Ferkingstad, RN
• Field Chiropractic LLC (Fergus Falls Chiropractic)
• Debra Lynn Field, RN

• Optometrist in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.