PREMIER OPTICAL, LLC
NPI 1245829357
Eyewear Supplier in Fargo, ND
- Organization
- Eyewear Supplier
- Medicare Supplier
- Accepts Medicare Approved Payment
About PREMIER OPTICAL, LLC
This page provides the complete NPI Profile along with additional information for Premier Optical, Llc, a provider established in Fargo, North Dakota operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1245829357 assigned on January 2021. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Steven B Thom Md (President)
- NPI
- 1245829357 Verify this NPI
- Provider Name
- PREMIER OPTICAL, LLC
- Entity Type
- Organization
- Location Address
- 3171 44TH ST S, STE 101 FARGO, ND 58104
- Location Phone
- (701) 235-0561
- Location Fax
- (701) 235-0330
- Mailing Address
- 3171 44TH ST S, STE 101 FARGO, ND 58104
- Mailing Phone
- (701) 235-0561
- Mailing Fax
- (701) 235-0330
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-13-2021
- Last Update Date
- 01-25-2021
- Code Navigator
Premier Optical, Llc is a medicare supplier with PTAN 20406929 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 156FX1800X | Eye and Vision Services Providers | Technician/Technologist |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20406929
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245829357, enumerated as an "organization" on January 13, 2021.
The provider is located at 3171 44TH ST S, STE 101 FARGO, ND 58104 and the phone number is (701) 235-0561.
Eyewear Supplier with taxonomy code 332H00000X.
