Organization Active NPI

Northwest Eye Center PLLC

  • Optometrist
  • Thief River Falls, MN
National Provider Identifier
1831156645
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2803 Issued in MN
Legal business name
NORTHWEST EYE CENTER PLLC
Practice address
1720 Hy 59 SE
Suite 1
Thief River Falls, MN 56701
Phone
(218) 681-3300
Fax
(218) 681-6733
NPI assigned
Apr 26, 2006
Organization subpart
Yes
Parent organization
NORTHWEST EYE CENTER PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Christopher J Borgen, ODNPI 1124045737
Title
Ceo
Phone
(218) 681-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 2803 MN Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 2833 MN

Addresses

Primary practice location

1720 Hy 59 SE
Suite 1
Thief River Falls, MN 56701

Mailing address

PO Box 505
Thief River Falls, MN 56701-0505
Phone (218) 681-3300

Other identifiers 6

IdentifierTypeStateIssuer
644201041982OtherMNPREF
928102900MedicaidMN
644201030SS1OtherMNPREFERRED
46G79B0OtherMNBCBS
736145900MedicaidMN
289M4TJOtherMNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040219000833 MN Part B Supplier - Clinic/Group Practice 0143115923 Receives reassigned benefits from 2 practitioners
Practice locations: Thief River Falls, MN
O20100930079110 MN DME Supplier - Physician - OptometristDME Supplier - Optician 0143115923 Practice locations: Thief River Falls, MN

National Provider Directory

National Provider Directory
Part of
Northwest Eye Center PA

Locations

901 Hanson Dr
Thief Rvr Fls, MN 56701
Phone (218) 681-1777

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1831156645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567010505",
            "telephone_number": "218-681-3300",
            "fax_number": "218-681-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 HY 59 SE",
            "address_2": "SUITE 1",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "56701",
            "telephone_number": "218-681-3300",
            "fax_number": "218-681-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EYE CENTER PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST EYE CENTER PA",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "BORGEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-681-3300",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2803",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2833",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF",
            "identifier": "644201041982",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "928102900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED",
            "identifier": "644201030SS1",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "46G79B0",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "736145900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "289M4TJ",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thief River Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.