Stacey Archibald, B.SC., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

689 Issued in ND

Practice address

3409 45TH St S Ste 100
Fargo, ND 58104-8970

Phone

(701) 561-0086

Fax

(701) 561-0087

NPI assigned

May 25, 2011

Last updated

Sep 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Waterloo - School of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• S Archibald OD PC

  dba Focus Family Eyecare

  • Optometrist
  • Fargo, ND
  • NPI 1235422007
  Medicare reassignment NPD Authorized official
• Focus Vision Development Center LLC

  • Vision Therapy Optometrist
  • Fargo, ND
  • NPI 1558844613
  NPD Authorized official
• Eyes on Broadway LLC

  • Optometrist
  • Fargo, ND
  • NPI 1720447808
  NPD (past)

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1306139266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 45TH ST S STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048970",
            "telephone_number": "701-561-0086",
            "fax_number": "701-561-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 45TH ST S STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048970",
            "telephone_number": "701-561-0086",
            "fax_number": "701-561-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIBALD",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "credential": "B.SC., O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari L Appletoft, LPCC
• Christina Arauz, M.D.
• Edison Arauz, SC
• Aruna Aravapalli, M.D.
• Arc Care
• Christine Joy Arens
• Miranda Arens, LPN
• Zenab Shamim Ariye
• Arkos Health North Dakota LLC
• Vicki Rae Arlt, CRNA

• Optometrist in Fargo, ND
• Providers in Fargo, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.