Active NPI
Bismarck Lasik
- Ophthalmologic Surgery Clinic/Center
- Bismarck, ND
National Provider Identifier
1831872969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- Legal business name
- BISMARCK LASIK
- Practice address
- 620 N 9TH St
Bismarck, ND 58501-4112 - Phone
- (701) 222-2020
- Fax
- (701) 255-4934
- NPI assigned
- Aug 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ashley Jacobchick, COA
- Title
- Center Manager
- Phone
- (701) 222-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | Primary |
Addresses
Primary practice location
620 N 9TH St
Bismarck, ND 58501-4112
Mailing address
620 N 9TH St
Bismarck, ND 58501-4112
Phone (701) 222-2020
Other names 1
- Bismarck LASIK
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Richmond Heights, MO
- NPI 1700822012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691366400000",
"number": "1831872969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 N 9TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014112",
"telephone_number": "701-222-2020",
"fax_number": "701-255-4934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N 9TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014112",
"telephone_number": "701-222-2020",
"fax_number": "701-255-4934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BISMARCK LASIK",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A",
"authorized_official_last_name": "JACOBCHICK",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "CENTER MANAGER",
"authorized_official_telephone_number": "701-222-2020",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "COA"
},
"taxonomies": [
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bismarck LASIK",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.