Emmalee Elaine Bardwell, O.D.
Individual provider Active NPI Optometrist · Bemidji, MN
NPI 1992483648 · NPPES record last updated Jun 18, 2025
Key facts
- NPI
- 1992483648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3878 (MN)
- Practice address
- 1611 Anne St NW
Bemidji, MN 56601-5114 - Phone
- (218) 333-2020
- NPI assigned
- Jul 11, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Health of Northern Minnesota
Practice addresses (Care Compare)
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000
1656 Central St W
Bagley, MN 56621-4357
Phone (218) 694-2384
Hospital & facility affiliations
- Sanford Bemidji Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 24 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230817000416 | MN | Practitioner - Optometry | 2466814868 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current |
Accepting new patients | |
| Sanford Health of Northern Minnesota | Optometrist | Current | Accepting new patients |
Locations
1656 Central St W
Bagley, MN 56621
Phone (218) 694-2384
1656 Central St W
Ste A
Bagley, MN 56621
Phone (218) 694-2442
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3878 | MN | Yes |
Addresses
Primary practice location
1611 Anne St NW
Bemidji, MN 56601-5114
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
212 3rd St NW
Bemidji, MN 56601-3112
Phone (218) 751-8313
Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.