Terry James Schleisman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1659ATI Issued in OR

Practice address

1 Hospital Way
Box 160
Belcourt, ND 58316

Phone

(701) 477-6111

NPI assigned

Oct 17, 2006

Sex

Male

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 TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Quentin N Burdick Comprehensive Health Care Facility

  • Pharmacist
  • Belcourt, ND
  • NPI 1245754548
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679654883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 9TH AVENUE NE",
            "address_2": "BOX 245",
            "city": "ROLLA",
            "state": "ND",
            "postal_code": "583670245",
            "telephone_number": "701-477-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL WAY",
            "address_2": "BOX 160",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "58316",
            "telephone_number": "701-477-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEISMAN",
        "first_name": "TERRY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1659ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea A Rondeau
• Christi Sue Rondeau, PHARMD
• Judith Rosario-Rayburn, FNP
• Jody Marie Rosendahl, RD
• April R Roussin, RN
• Marlene Marie Schroeder
• Madison Scott
• Jordan Seals
• Crystal Marie Selburg
• Jacqueline M Selburg

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.