Individual provider Active NPI

Steven Charles Kourajian, O.D.

  • Optometrist
  • Harvey, ND
National Provider Identifier
1255315792
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ND408 Issued in ND
Practice address
901 Lincoln Ave
Harvey, ND 58341-1523
Phone
(701) 324-2154
Fax
(701) 324-2160
NPI assigned
Nov 29, 2005
Last updated
Oct 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ND408 ND Primary

Addresses

Primary practice location

901 Lincoln Ave
Harvey, ND 58341-1523

Mailing address

901 Lincoln Ave
Harvey, ND 58341-1523
Phone (701) 324-2154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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

Enrollment IDStateProvider typePAC IDDetails
I20040924000890 ND Practitioner - Optometry 6901875129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

901 Lincoln Ave
Harvey, ND 58341-1523
Phone (701) 324-2154

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND408NDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven C. Kourajian, O.D., P.C. Optometrist CurrentSince Sep 28, 1981 Accepting new patients
Eye Clinic of ND Optometrist PastSince Oct 1, 2004 Accepting new patients

Locations

901 Lincoln Ave
Harvey, ND 58341
Phone (701) 324-2154

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
SMP Health - St. AloisiusHarvey, ND, CCN 351327 Hospital Corporate Director Jul 1, 2024
SMP Health - St AloisiusHarvey, ND, CCN 35Z327 Hospital Corporate Director Jul 1, 2024
SMP Health-St. AloisiusHarvey, ND, CCN 355037 Skilled nursing facility Corporate Director Jul 1, 2024
SMP Health - St. AloisiusHarvey, ND, CCN 358509 Rural health clinic Corporate Director Jul 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1255315792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LINCOLN AVE",
            "city": "HARVEY",
            "state": "ND",
            "postal_code": "583411523",
            "telephone_number": "701-324-2154",
            "fax_number": "701-324-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LINCOLN AVE",
            "city": "HARVEY",
            "state": "ND",
            "postal_code": "583411523",
            "telephone_number": "701-324-2154",
            "fax_number": "701-324-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURAJIAN",
        "first_name": "STEVEN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "ND408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, ND

Sources for this page

Verify at the official NPI Registry.