Premier Optical, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PREMIER OPTICAL, LLC

Practice address

3171 44TH St S, Ste 101
Fargo, ND 58104-8521

Phone

(701) 235-0561

Fax

(701) 235-0330

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Steven B Thom, MDNPI 1063434637

Title

President

Phone

(701) 235-0561

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven B Thom, MD

  • Ophthalmology Physician
  • Fergus Falls, MN
  • NPI 1063434637
  NPD Authorized official
• Michelle Kim Atchison, MD

  • Ophthalmology Physician
  • Fargo, ND
  • NPI 1659563039
  NPD
• Nicole Marie Collins, O.D.

  • Optometrist
  • Fargo, ND
  • NPI 1639425556
  NPD
• Anne Keating, M.D.

  • Ophthalmology Physician
  • Fargo, ND
  • NPI 1306089750
  NPD

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1245829357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 44TH ST S, STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048521",
            "telephone_number": "701-235-0561",
            "fax_number": "701-235-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 44TH ST S, STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048521",
            "telephone_number": "701-235-0561",
            "fax_number": "701-235-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "THOM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-235-0561",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josiah Daniel Pratt, LBSW
• Serena Prchal
• Precision Diagnostic Services Inc (Pivotal Health)
• Precision Transportation Inc
• Scott A Preisler, DDS, MS
• Prescription Center Pharmacy Inc
• Prescription Center Pharmacy Inc. (Southpointe Pharmacy)
• Prescription Center Pharmacy Inc.
• Presentation Partners in Housing (PPiH Care Coordination)
• Presentation Partners in Housing

• Eyewear Supplier in Fargo, ND
• Providers in Fargo, 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 Jan 25, 2021; 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.