Fercho Cataract & Eye Clinic, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

FERCHO CATARACT & EYE CLINIC, INC.

Practice address

100 4TH St S Ste 612
Fargo, ND 58103-1940

Phone

(701) 235-0561

Fax

(701) 235-0330

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ron Flaig

Title

Clinic Administrator

Phone

(701) 235-0561

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1447348602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 4TH ST S STE 612",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031940",
            "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": "100 4TH ST S STE 612",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031940",
            "telephone_number": "701-235-0561",
            "fax_number": "701-235-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERCHO CATARACT & EYE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "FLAIG",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "701-235-0561",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00488001",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064813200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2M015FE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICES",
            "identifier": "00840001",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17403",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Rae Feltman
• Kevin Patrick Feltz, MD
• Shae Fennell
• Brooke Erin Fenstad, O.D.
• Jeffrey Alan Ferber, PHARMD
• Fercho Cataract and Eye Clinic
• Jennifer A Fercho, LAC
• Baylee Jo Ferguson, PHARMD
• Katharine Barrett Ferguson, LMSW
• Basilides Emmanuel Fermin, MD

• Ophthalmology Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Ophthalmology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.