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LUMEN VISION PC
NPI 1447879663
Optometrist in Fargo, ND

Active since April 09, 2020
5120 PROSPERITY WAY S STE 114, FARGO, ND 58104(701) 404-9096 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2021, Apr 9, 2020 (2 updates tracked since 2020).

About Lumen Vision Pc NPPES

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

LUMEN VISION PC (NPI 1447879663) is a healthcare organization registered as an optometrist in Fargo, North Dakota and active in the NPI registry since April 2020. The organization lists Ryan Thomas Capouch, Founder/ceo, as its authorized official.

NPPES Registry Identity

NPI1447879663
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLUMEN VISION PC
Location Address5120 PROSPERITY WAY S STE 114Fargo, ND 58104-7568
Mailing Address6844 17th St SFargo, ND 58104-7857 · (701) 404-9096
Phone(701) 404-9096
Organization SubpartNo
Authorized OfficialRyan Thomas CapouchFounder/ceo · (701) 404-9096
Enumeration DateApril 9, 2020
Last NPPES UpdateJune 2, 20212 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
✔ NPI 1447879663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5120 PROSPERITY WAY S STE 114, Fargo, ND 58104
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lumen Vision Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lumen Vision PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ryan Capouch, O.D.
Optometry
NPI 1538650726
5120 PROSPERITY WAY S STE 114
Fargo, ND 58104
(701) 404-9096
✔ PECOS✔ Accepts MedicareSame address
Joy Quitberg, O.D.
Optometry
NPI 1477583466
5120 PROSPERITY WAY SUITE #114
Fargo, ND 58104
(701) 404-9096
✔ PECOS✔ Accepts MedicareSame address

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

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 Lumen Vision PC's NPI number?

The NPI number for Lumen Vision PC is 1447879663. It was assigned to this organization in the NPPES registry on April 9, 2020.

Where is Lumen Vision PC located?

Lumen Vision PC is located at 5120 Prosperity Way S Ste 114, Fargo, ND 58104. The listed phone number is (701) 404-9096.

What is Lumen Vision PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lumen Vision PC enrolled in Medicare?

Yes. Lumen Vision PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lumen Vision PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Lumen Vision PC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lumen Vision PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Lumen Vision PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lumen Vision PC was last updated on June 2, 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.