SANFORD SOUTHPOINTE EYE CENTER & OPTICAL
NPI 1700166006
Optometrist in Fargo, ND
NPI Status: Active since August 18, 2011
Contact Information
2400 32ND AVE S
FARGO, ND
ZIP 58103
Phone: (701) 234-3640
- Organization
- Optometrist
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 35D0408444
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 06-25-2027
About SANFORD SOUTHPOINTE EYE CENTER & OPTICAL
This page provides the complete NPI Profile along with additional information for Sanford Southpointe Eye Center & Optical, a provider established in Fargo, North Dakota operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1700166006 assigned on August 2011. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Sanford Southpointe Eye Center & Optical. The authorized official of this NPI record is Martha Leclerc (Vice President)
- NPI
- 1700166006
- Provider Legal Name
- SANFORD MEDICAL CENTER FARGO
- Other Organization Name
- SANFORD SOUTHPOINTE EYE CENTER & OPTICAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2400 32ND AVE S FARGO, ND 58103
- Location Phone
- (701) 234-3640
- Mailing Address
- 2400 32ND AVE S FARGO, ND 58103
- Mailing Phone
- (701) 234-3640
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-18-2011
- Last Update Date
- 11-27-2023
- Code Navigator
Sanford Southpointe Eye Center & Optical is a medicare supplier with PTAN 34359098 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
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- Taxonomy Description
- 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.
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 | 332H00000X | Suppliers | Eyewear Supplier |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 34359098
- 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
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 35D0408444
- Facility Type
- Community Clinic
- Certificate Effective Date
- June 26, 2025
- Certificate Expiration Date
- June 25, 2027
- Laboratory Director
- DR. ANIL CHOKKALLA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Sanford Southpointe Eye Center & Optical on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1700166006, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 44 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700166006, enumerated as an "organization" on August 18, 2011.
The provider is located at 2400 32ND AVE S FARGO, ND 58103 and the phone number is (701) 234-3640.
Optometrist with taxonomy code 152W00000X.
