Brooke Erin Fenstad, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

635 Issued in ND

Practice address

I-29 and 13TH Ave S
Fargo, ND 58103

Phone

(701) 277-9555

Fax

(701) 277-7112

NPI assigned

Dec 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 MN

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Schamber Eye Care PAGroup PAC ID 3274750971, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Schamber Eye Care, P.a.

  dba Lakes Area Eye Care

  • Eyewear Supplier
  • Baxter, MN
  • NPI 1740693712
  Medicare reassignment Care Compare group NPD
• Lakes Area Eyecare, Inc.

  • Optometrist
  • Baxter, MN
  • NPI 1992755920
  NPD (past)
• Rochester Family Eye Clinic LLC

  • Optometrist
  • Rochester, MN
  • NPI 1831173335
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699833301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 44TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581043980",
            "telephone_number": "701-238-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "I-29 AND 13TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58103",
            "telephone_number": "701-277-9555",
            "fax_number": "701-277-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENSTAD",
        "first_name": "BROOKE",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Marie Fellman
• Thomas Glen Fellman, DDS LTD
• Kristin Rae Feltman
• Kevin Patrick Feltz, MD
• Shae Fennell
• Jeffrey Alan Ferber, PHARMD
• Fercho Cataract & Eye Clinic, Inc.
• Fercho Cataract and Eye Clinic
• Jennifer A Fercho, LAC
• Baylee Jo Ferguson, PHARMD

• Optometrist in Fargo, ND
• Providers in Fargo, 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.
• 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.

Verify at the official NPI Registry.