Christopher J Borgen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2803 Issued in MN

Practice address

1720 Hwy 59 SE
Suite 1 Box 505
Thief River Falls, MN 56701

Phone

(218) 681-3300

Fax

(218) 681-6733

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Eye Center PLLCGroup PAC ID 0143115923, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.31 of 100Reported as individual

Quality

78.62

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Eye Center PLLC

  • Optometrist
  • Thief River Falls, MN
  • NPI 1831156645
  Medicare reassignment Care Compare group NPD Authorized official
• North Dakota Eye Clinic, LTD

  • Specialist
  • Grand Forks, ND
  • NPI 1972563815
  NPD
• Dicken PA

  • Ophthalmology Physician
  • Thief River Falls, MN
  • NPI 1295808582
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1124045737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 HWY 59 SE",
            "address_2": "SUITE 1 BOX 505",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "56701",
            "telephone_number": "218-681-3300",
            "fax_number": "218-681-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 HWY 59 SE",
            "address_2": "SUITE 1 BOX 505",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "56701",
            "telephone_number": "218-681-3300",
            "fax_number": "218-681-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388602600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF",
            "identifier": "644201030551",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2202123",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "4687980",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Lynn Beito
• Scott Bradley Bentson, LP
• Desiree M Bertilrud, NP
• Brittney Leigh Bimler, LICSW
• Danielle Boe
• Nicole Marie Brandt, LGSW, LADC
• Bryce Allen Bray, DDS
• Mary Breitenbucher, PHD, LP
• Ronald J Brockman, MD
• Kassidy Brown, LMT

• Optometrist in Thief River Falls, MN
• Providers in Thief River 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 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.