Susan M Safratowich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

676 Issued in ND

Practice address

2900 S Columbia Rd
Grand Forks, ND 58201-6070

Phone

(701) 746-6745

Fax

(701) 746-6745

NPI assigned

Jul 31, 2009

Last updated

Aug 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lvctr PLLCGroup PAC ID 2062696669, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lvctr PLLC

  dba Lifetime Vision Center

  • Optometrist
  • Grand Forks, ND
  • NPI 1720385263
  Medicare reassignment Care Compare group NPD
• Lifetime Vision Center, LLC

  • Optometrist
  • Grand Forks, ND
  • NPI 1750591962
  NPD (past)

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440806400000",
    "number": "1881825339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016070",
            "telephone_number": "701-746-6745",
            "fax_number": "701-746-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016070",
            "telephone_number": "701-746-6745",
            "fax_number": "701-746-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFRATOWICH",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2015-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ND-60679",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ken Ryan, MD
• Jenna C Rydquist, PTA
• Karley Rygg
• S&S Rehab Products Plus, Inc.
• Tanzeela Sameen Saeed
• Jadyn Allie Sagert
• Sara Sailer, PT
• Daniel Salehi, M.D
• Henriette Salender
• Courtney Salomonson

• Optometrist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.