Douglas M Nordby Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

443 Issued in ND

Practice address

109 5TH STR SW
Watford City, ND 58854-1287

Phone

(701) 444-3221

Fax

(701) 444-3226

NPI assigned

Nov 28, 2007

Sex

Male

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

Southern California College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyes by Design LTDGroup PAC ID 9032251582, 2 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 and National Provider Directory roles.

• Eyes by Design LTD

  • Optometrist
  • Watford City, ND
  • NPI 1205812393
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1972785335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1287",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "588541287",
            "telephone_number": "701-444-3221",
            "fax_number": "701-444-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 5TH STR SW",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "588541287",
            "telephone_number": "701-444-3221",
            "fax_number": "701-444-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDBY",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60340",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Marie Moe, FNP-BC
• Melvin Momo
• Myers Chiropractic PLLC
• Nathina Nichole Myers, LMT1793
• Matthew Neprash, PT
• Tena Oakland
• Taya Olson, PA-C
• Narek Ovsepian, DDS
• Chad A Pedersen, MD
• Marilyn Beth Pierce, PT

• Optometrist in Watford City, ND
• Providers in Watford City, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.