Organization Active NPI

Eyes by Design LTD

Doing business as Eyes by Design

  • Optometrist
  • Watford City, ND
National Provider Identifier
1205812393
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
443 Issued in ND
Legal business name
EYES BY DESIGN LTD
Doing business as
Eyes by Design
Practice address
1005 South Main St
Watford City, ND 58854
Phone
(701) 444-3221
Fax
(701) 444-2448
NPI assigned
Dec 20, 2005
Last updated
Jun 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Melissa Phyllis Hjelden
Title
President
Phone
(701) 444-3221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 443 ND Primary

Addresses

Primary practice location

1005 South Main St
Watford City, ND 58854

Mailing address

1005 South Main St
Watford City, ND 58854
Phone (701) 444-3221

Other identifiers 1

IdentifierTypeStateIssuer
60340MedicaidND

Other names 1

  • Eyes by Design Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100121000172 ND Part B Supplier - Clinic/Group Practice 9032251582 Receives reassigned benefits from 2 practitioners
Practice locations: Watford City, ND
O20100930031222 ND DME Supplier - Physician - Optometrist 9032251582 Practice locations: Watford City, ND

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Eyes by Design1005 S Main St, Watford City, ND 58854-6730(701) 444-3221 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Apr 1, 2000

National Provider Directory

National Provider Directory

Locations

1005 S Main St
Watford City, ND 58854
Phone (701) 444-3221

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1205812393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 SOUTH MAIN ST",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "58854",
            "telephone_number": "701-444-3221",
            "fax_number": "701-444-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 SOUTH MAIN ST",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "58854",
            "telephone_number": "701-444-3221",
            "fax_number": "701-444-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES BY DESIGN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "HJELDEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "PHYLLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-444-3221"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60340",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes by Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watford City, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.