Active NPI
Shila K Lampl, OD
- Optometrist
- Wahpeton, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 616
- Practice address
- 275 11TH St S
Wahpeton, ND 58075-4655 - Phone
- (701) 642-2000
- Fax
- (701) 671-4106
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 616 | ND | Primary |
Addresses
Primary practice location
275 11TH St S
Wahpeton, ND 58075-4655
Mailing address
275 11TH St S
Wahpeton, ND 58075-4655
Phone (701) 642-2000
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26450 | Other | ND | NDBS # |
| 45425 | Other | ND | LHS # |
| 2202982 | Other | ND | MEDICA # |
| DA9051044587 | Other | ND | PREFERRED ONE # |
| HP52854 | Other | ND | HEALTHPARTNERS # |
| 2374577 | Other | ND | AMERICA'S PPO/ARAZ # |
| 60618 | Medicaid | ND | |
| 111658400 | Medicaid | ND | |
| 008H3LA | Other | ND | MNBS # |
| 137087 | Other | ND | UCARE # |
| 9203480 | Medicaid | ND |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2960 | WI | MD | Clinical Psychologist |
| 2920 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovis Health, LLC | Current | Accepting new patients | |
| Innovis Health LLC | Optometrist | Current | Accepting new patients |
Locations
2400 St Francis Dr
Breckenridge, MN 56520
Phone (218) 643-0226
208 Oppegard Ave NW
Twin Valley, MN 56584
Phone (218) 584-5181
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
275 11th St S
Wahpeton, ND 58075
Phone (701) 642-2000
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 and National Provider Directory roles.
-
dba Essentia Health-Osgood Clinic
- Multi-Specialty Clinic/Center
- Fargo, ND
- NPI 1144776576
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1487661351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 11TH ST S",
"city": "WAHPETON",
"state": "ND",
"postal_code": "580754655",
"telephone_number": "701-642-2000",
"fax_number": "701-671-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 11TH ST S",
"city": "WAHPETON",
"state": "ND",
"postal_code": "580754655",
"telephone_number": "701-642-2000",
"fax_number": "701-671-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMPL",
"first_name": "SHILA",
"middle_name": "K",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ND",
"license": "616",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NDBS #",
"identifier": "26450",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LHS #",
"identifier": "45425",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA #",
"identifier": "2202982",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE #",
"identifier": "DA9051044587",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS #",
"identifier": "HP52854",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO/ARAZ #",
"identifier": "2374577",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60618",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111658400",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBS #",
"identifier": "008H3LA",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE #",
"identifier": "137087",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9203480",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wahpeton, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.