GREAT RIVER EYE CLINIC
NPI 1023424926
Clinic/Center - Health Service in Crosby, MN

Active since July 11, 2014
1 3RD AVE NE, CROSBY, MN 56441(218) 546-5108(218) 546-5736 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Great River Eye Clinic NPPES

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

GREAT RIVER EYE CLINIC (NPI 1023424926) is a healthcare organization registered as a health service in Crosby, Minnesota and active in the NPI registry since July 2014. The organization lists Stacy Ann Sjoberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1023424926
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameS SJOBERG PLC
Location Address1 3RD AVE NECrosby, MN 56441-1665
Mailing Address1 3rd Ave NeCrosby, MN 56441-1665 · (218) 546-5108 · Fax (218) 546-5736
Fax(218) 546-5736
Organization SubpartNo
Authorized OfficialStacy Ann SjobergOwner · (218) 546-5108
Enumeration DateJuly 11, 2014
Last NPPES UpdateAugust 23, 2021
NPPES CertifiedAugust 23, 2021
✔ NPI 1023424926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedOptometristTaxonomy 152W00000X
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X
1 3RD AVE NE, Crosby, MN 56441

Other Names 1

Doing Business AsGreat River Eye Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great River Eye Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Great River Eye Clinic, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Optometry7
Ophthalmology3

Clinicians, nearest first (10)

Ophthalmology
NPI 1215221189
1 3RD AVE NE
Crosby, MN 56441
(218) 546-5108
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1376432435
1 3RD AVE NE
Crosby, MN 56441
(218) 546-5108
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1558742783
1 3RD AVE NE
Crosby, MN 56441
(218) 546-5108
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1710214432
1 3RD AVE NE
Crosby, MN 56441
(800) 952-3766
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1275584815
1 3RD AVE NE
Crosby, MN 56441
(218) 546-5108
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1821044041
1 3RD AVE NE
Crosby, MN 56441
(218) 546-5108
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1023343100
ONE 3RD AVENUE NE
Crosby, MN 56441
(218) 546-5108
✔ PECOS✔ Accepts Medicare0.2 mi
Optometry
NPI 1881058196
506 LAUREL ST
Brainerd, MN 56401
(218) 829-0946
✔ PECOS✔ Accepts Medicare15 mi
Optometry
NPI 1801593447
7870 EXCELSIOR RD
Baxter, MN 56425
(218) 828-9545
✔ PECOS✔ Accepts Medicare16 mi
Optometry
NPI 1255884151
18562 MINOBIMAADIZI LOOP
Onamia, MN 56359
(320) 532-4163
✔ PECOS40 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Great River Eye Clinic carries, from the Medicare DMEPOS supplier directory.

Great River Eye Clinic

DMEPOS supplier · Crosby, MNOperated by S Sjoberg Plc
✔

Accepts Medicare assignment

Great River Eye Clinic 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)20487281
Medicare Participant SinceSeptember 19, 2014
Supplier Location1 3rd Ave NECrosby, MN 56441
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.

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 S Sjoberg Plc's NPI number?

The NPI number for S Sjoberg Plc is 1023424926. It was assigned to this organization in the NPPES registry on July 11, 2014. The provider is doing business as Great River Eye Clinic.

Where is S Sjoberg Plc located?

S Sjoberg Plc is located at 1 3rd Ave NE, Crosby, MN 56441. The listed phone number is (218) 546-5108.

What is S Sjoberg Plc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is S Sjoberg Plc enrolled in Medicare?

Yes. S Sjoberg Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through S Sjoberg Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to S Sjoberg Plc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (7) and Ophthalmology (3). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does S Sjoberg Plc accept Medicare assignment for medical equipment?

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

When was this NPI record last updated?

The NPPES record for S Sjoberg Plc was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.