Eye Trauma Services LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE TRAUMA SERVICES LLC

Practice address

1200 S Columbia Rd
Grand Forks, ND 58201-4036

Phone

(470) 514-0551

NPI assigned

Jun 16, 2026

Organization subpart

No

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

Authorized official

Name

Joe Bradley

Title

Administrator

Phone

(470) 514-0551

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1851226369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 PEACHTREE RD NE STE 145",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261427",
            "telephone_number": "470-514-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014036",
            "telephone_number": "470-514-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE TRAUMA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "470-514-0551"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merle Brian Evenson, LSW
• Leanna Eversvik, CRNA
• Charlotte Joan Ewals, DNP, FNP-BC
• Jacqueline Danielle Ewert, CNA
• Judith A Ewoniuk-Kuzel, BSSW LAC
• Eyemart Express LLC
• Eyemart Express LTD
• Grant William Eyjolfson, MD
• Mary Reiten Eylands, LPCC
• Kristina Michelle Fabian, MOTR/L

• Ophthalmology Physician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Ophthalmology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.