Individual provider Active NPI

Mark G Tufte, OD

  • Corneal and Contact Management Optometrist
  • Fargo, ND
National Provider Identifier
1669494233
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
415 Issued in ND
Practice address
1801 45TH St S Ste G
Fargo, ND 58103-0801
Phone
(701) 492-3937
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 415 ND Primary

Addresses

Primary practice location

1801 45TH St S Ste G
Fargo, ND 58103-0801

Mailing address

1801 45TH St S Ste G
Fargo, ND 58103-0801
Phone (701) 492-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080904000633 ND Practitioner - Optometry 0941376511 Reassigns benefits to 1 organization
I20190823003462 AZ Practitioner - Optometry 0941376511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1801 45TH St S
Suite G
Fargo, ND 58103-0801
Phone (701) 492-3937

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
587NDMDPhysical Therapist
1913MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Ophthalmology, LTD CurrentSince Jul 1, 2019 Accepting new patients
Mark Tufte OD PC CurrentSince Dec 21, 2008 Accepting new patients
Eye Physicians Group LLC PastSince Aug 1, 2023 Accepting new patients

Locations

5620 E Broadway Rd
Mesa, AZ 85206
Phone (480) 981-6111

1801 45th St S
Ste G
Fargo, ND 58103
Phone (701) 356-3937

311 Broadway N
Fargo, ND 58102
Phone (701) 356-3937

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1669494233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 45TH ST S STE G",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581030801",
            "telephone_number": "701-492-3937",
            "fax_number": "701-205-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 45TH ST S STE G",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581030801",
            "telephone_number": "701-492-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFTE",
        "first_name": "MARK",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "ND",
            "license": "415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.