Active NPI
James W. Engstrom, O.D. and Associates, PLLC
- Optometrist
- Dilworth, MN
National Provider Identifier
1932210150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2579
- Legal business name
- JAMES W. ENGSTROM, O.D. AND ASSOCIATES, PLLC
- Practice address
- 1711 Center Ave W
Dilworth, MN 56529-1342 - Phone
- (218) 233-8335
- Fax
- (218) 233-3420
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 22, 2020
- 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
- James William Engstrom, O.D.
- Title
- Optometrist
- Phone
- (218) 233-8335
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2579 | MN | Primary |
Addresses
Primary practice location
1711 Center Ave W
Dilworth, MN 56529-1342
Mailing address
3238 43Rd Ave S
Fargo, ND 58104-6635
Phone (701) 298-0730
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Fargo, ND
- NPI 1407967623
-
- Optometrist
- Ephrata, WA
- NPI 1659477008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1932210150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3238 43RD AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581046635",
"telephone_number": "701-298-0730",
"fax_number": "701-298-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 CENTER AVE W",
"city": "DILWORTH",
"state": "MN",
"postal_code": "565291342",
"telephone_number": "218-233-8335",
"fax_number": "218-233-3420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES W. ENGSTROM, O.D. AND ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ENGSTROM",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "218-233-8335",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dilworth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.