Individual provider Active NPI

Julie Lagodinski-Christian, O.D.

  • Optometrist
  • Grand Forks, ND
National Provider Identifier
1386626976
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
538 Issued in ND
Practice address
1401 28TH Ave S
Grand Forks, ND 58201-6731
Phone
(701) 757-2121
Fax
(701) 757-2120
NPI assigned
Nov 18, 2005
Last updated
May 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 538 ND Primary

Addresses

Primary practice location

1401 28TH Ave S
Grand Forks, ND 58201-6731

Mailing address

1401 28TH Ave S
Grand Forks, ND 58201-6731
Phone (701) 757-2121

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
I20060112000401 ND Practitioner - Optometry 2062435308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 28TH Ave S
Grand Forks, ND 58201-6731
Phone (701) 757-2121

Merit-based Incentive Payment System (MIPS)

Final score
10.81 of 100Reported as individual
Quality
21.62
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
538NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eyecare Optometrist CurrentSince Feb 20, 2013 Accepting new patients
North Dakota Eye Clinic, LTD Optometrist Past Accepting new patients

Locations

1401 28th Ave S
Grand Forks, ND 58201
Phone (701) 757-2121

2860 10th Ave N
Ste 350
Grand Forks, ND 58203
Phone (701) 757-1440

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1386626976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 28TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016731",
            "telephone_number": "701-757-2121",
            "fax_number": "701-757-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 28TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016731",
            "telephone_number": "701-757-2121",
            "fax_number": "701-757-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGODINSKI-CHRISTIAN",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.