Individual provider Active NPI

Seth Jared Stofferahn, OD

  • Optometrist
  • West Fargo, ND
National Provider Identifier
1790353159
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
785 Issued in ND
Practice address
354 23Rd Ave E
West Fargo, ND 58078-7820
Phone
(701) 566-5390
Fax
(605) 371-7199
NPI assigned
Jun 14, 2021
Last updated
May 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 785 ND Primary

Addresses

Primary practice location

354 23Rd Ave E
West Fargo, ND 58078-7820

Mailing address

3101 W 57TH St
Sioux Falls, SD 57108-3162
Phone (605) 799-2230

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210809003733 ND Practitioner - Optometry 8628472933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

354 23Rd Ave E
West Fargo, ND 58078-7820
Phone (701) 566-5390

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
93.82
Promoting interoperability
97
Improvement activities
40
Cost
71.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
785NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vance Thompson Vision Clinic Prof LLC Optometrist CurrentSince Mar 7, 2022 Accepting new patients

Locations

354 23rd Ave E
West Fargo, ND 58078
Phone (701) 566-5390

505 32nd Ave E
Ste B
West Fargo, ND 58078
Phone (701) 532-1731

3101 W 57th St
Sioux Falls, SD 57108
Phone (605) 361-3937

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1790353159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083162",
            "telephone_number": "605-799-2230",
            "fax_number": "605-371-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 23RD AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787820",
            "telephone_number": "701-566-5390",
            "fax_number": "605-371-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFFERAHN",
        "first_name": "SETH",
        "middle_name": "JARED",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

Verify at the official NPI Registry.