NPIMap

Organization Active NPI

Rolla Eye Clinic

  • Rural Health Clinic/Center
  • Rolla, ND
National Provider Identifier
1700064599
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
540 Issued in ND
Legal business name
ROLLA EYE CLINIC
Practice address
118 3Rd St. NE
Rolla, ND 58367-1170
Phone
(701) 477-5656
Fax
(701) 477-5675
NPI assigned
Feb 5, 2008
Last updated
Mar 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Dr. Joseph Alan Thorman, ODNPI 1386662427
Title
Doctor/Owner
Phone
(701) 477-5656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 540 ND Primary

Addresses

Primary practice location

118 3Rd St. NE
Rolla, ND 58367-1170

Mailing address

PO Box 1170
Rolla, ND 58367-1170
Phone (701) 477-5656

Other identifiers 4

IdentifierTypeStateIssuer
B48107221235OtherNDPREFERRED
THO13533OtherNDBCBS
410048131OtherNDMEDICARE RAIL ROAD
60650MedicaidND

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1700064599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1170",
            "city": "ROLLA",
            "state": "ND",
            "postal_code": "583671170",
            "telephone_number": "701-477-5656",
            "fax_number": "701-477-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 3RD ST. NE",
            "city": "ROLLA",
            "state": "ND",
            "postal_code": "583671170",
            "telephone_number": "701-477-5656",
            "fax_number": "701-477-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLA EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "THORMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "701-477-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "ND",
            "license": "540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED",
            "identifier": "B48107221235",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "THO13533",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "410048131",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60650",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.