NORTH DAKOTA EYE CLINIC, LTD
NPI 1023168663
Eyewear Supplier in Grand Forks, ND

Active since January 12, 2007CLIA 35D2280501 · Waiver
1820 S 42ND ST., NORTH DAKOTA EYE CLINIC, LTD, GRAND FORKS, ND 58201(701) 775-3151(701) 775-3153 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2023, Jun 13, 2019, Jun 14, 2018 (3 updates tracked since 2018).

About North Dakota Eye Clinic, Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH DAKOTA EYE CLINIC, LTD (NPI 1023168663) is a healthcare organization registered as an eyewear supplier in Grand Forks, North Dakota and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Mark L. Sczepanski, President, as its authorized official.

NPPES Registry Identity

NPI1023168663
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameNORTH DAKOTA EYE CLINIC, LTD
Location Address1820 S 42ND ST., NORTH DAKOTA EYE CLINIC, LTDGrand Forks, ND 58201-5820
Mailing Address3035 Demers Ave, North Dakota Eye Clinic, LtdGrand Forks, ND 58201-4040 · (701) 775-3151 · Fax (701) 775-3153
Fax(701) 775-3153
Organization SubpartNo
Authorized OfficialMark L. SczepanskiPresident · (701) 775-3151
Enumeration DateJanuary 12, 2007
Last NPPES UpdateMay 11, 20233 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
NPI 1023168663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

1820 S 42ND ST., Grand Forks, ND 58201

Other Identifiers 2

Medicaid10080ND
Medicaid655224200MN

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D2280501

North Dakota Eye Clinic · Grand Forks, ND
Active · expires Apr 19, 2027
CLIA Number35D2280501
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorMark L. Sczepanski
Laboratory Phone(701) 775-3151
Laboratory LocationNorth Dakota Eye Clinic1820 S 42nd St, Grand Forks, ND 58201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories North Dakota Eye Clinic, Ltd carries, from the Medicare DMEPOS supplier directory.

North Dakota Eye Clinic, Ltd

DMEPOS supplier · Grand Forks, ND

Accepts Medicare assignment

North Dakota Eye Clinic, Ltd agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20578679
Medicare Participant SinceJuly 13, 2005
Supplier Location1820 S 42nd StGrand Forks, ND 58201
Provider TypePhysician – Ophthalmology
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1820 S 42ND ST.
GRAND FORKS, ND 58201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Dakota Eye Clinic, Ltd's NPI number?

The NPI number for North Dakota Eye Clinic, Ltd is 1023168663. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is North Dakota Eye Clinic, Ltd located?

North Dakota Eye Clinic, Ltd is located at 1820 S 42nd St. North Dakota Eye Clinic, Ltd, Grand Forks, ND 58201. The listed phone number is (701) 775-3151.

What is North Dakota Eye Clinic, Ltd's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does North Dakota Eye Clinic, Ltd accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, North Dakota Eye Clinic, Ltd accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does North Dakota Eye Clinic, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2280501) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Dakota Eye Clinic, Ltd was last updated on May 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.