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SANFORD SOUTHPOINTE EYE CENTER & OPTICAL
NPI 1700166006
Optometrist in Fargo, ND

Active since August 18, 2011CLIA 35D0408444 · Accreditation
2400 32ND AVE S, FARGO, ND 58103(701) 234-3640 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sanford Southpointe Eye Center & Optical NPPES

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

SANFORD SOUTHPOINTE EYE CENTER & OPTICAL (NPI 1700166006) is a healthcare organization registered as an optometrist in Fargo, North Dakota and active in the NPI registry since August 2011. The organization holds an CLIA Accreditation certificate valid through June 25, 2027 and lists Martha Leclerc, Vice President, as its authorized official.

NPPES Registry Identity

NPI1700166006
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSANFORD MEDICAL CENTER FARGO
Location Address2400 32ND AVE SFargo, ND 58103-5800
Mailing Address2400 32nd Ave SFargo, ND 58103-5800 · (701) 234-3640
Phone(701) 234-3640
Organization SubpartNo
Authorized OfficialMartha LeclercVice President · (701) 234-6248
Enumeration DateAugust 18, 2011
Last NPPES UpdateNovember 27, 2023
✔ NPI 1700166006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedEyewear SupplierTaxonomy 332H00000X
2400 32ND AVE S, Fargo, ND 58103
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Other Names 1

Doing Business AsSanford Southpointe Eye Center & Optical

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 Accreditation 35D0408444

Sanford Southpointe Clinic · Fargo, ND
Active · expires Jun 25, 2027
CLIA Number35D0408444
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorDr. Anil Chokkalla
Laboratory Phone(701) 234-8879
Laboratory LocationSanford Southpointe Clinic2400 32nd Ave S, Fargo, ND 58103
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Sanford Southpointe Eye Center & Op carries, from the Medicare DMEPOS supplier directory.

Sanford Southpointe Eye Center & Op

DMEPOS supplier · Fargo, NDOperated by Sanford Medical Center Fargo
✔

Accepts Medicare assignment

Sanford Southpointe Eye Center & Op 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)34359098
Medicare Participant SinceJanuary 1, 1998
Supplier Location2400 32nd Ave SFargo, ND 58103
Phone(701) 461-5100
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
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 20

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

JASON C MYRMOE MD
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8779
DANA L STEGMILLER PA-C
Physician Assistant
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8830
DARSHAN SINGH KHANGURA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-7980
KIMBERLY CRANDALL RN, BSN, CDE
Registered Nurse (Diabetes Educator)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-2245
NAOMI SCHULDT DNP, APRN, FNP-C
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-2000
RANDALL A KENNINGER MD
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8830
SOPHIA JUELL MS
Speech-Language Pathologist
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-4300
JEFFREY ALLEN RONDEAU MD
Obstetrics & Gynecology
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8880

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 Sanford Medical Center Fargo's NPI number?

The NPI number for Sanford Medical Center Fargo is 1700166006. It was assigned to this organization in the NPPES registry on August 18, 2011. The provider is doing business as Sanford Southpointe Eye Center & Optical.

Where is Sanford Medical Center Fargo located?

Sanford Medical Center Fargo is located at 2400 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 234-3640.

What is Sanford Medical Center Fargo's specialty?

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

Does Sanford Medical Center Fargo accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Sanford Southpointe Eye Center & Op accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Sanford Medical Center Fargo hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 35D0408444) is associated with this NPI, valid through June 25, 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 Sanford Medical Center Fargo was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.