Organization Active NPI

Bismarck Lasik

  • Ophthalmologic Surgery Clinic/Center
  • Bismarck, ND
National Provider Identifier
1831872969
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
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

Updated by the provider on Aug 7, 2023

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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.