CROOKSTON EYE CLINIC
NPI 1740567494
Optometrist in Crookston, MN
About Crookston Eye Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CROOKSTON EYE CLINIC (NPI 1740567494) is a healthcare organization registered as an optometrist in Crookston, Minnesota and active in the NPI registry since November 2011. The organization lists Matthew C Forgit, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted 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)
Crookston Eye Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Crookston Eye Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Agassiz Optometry Associates PC's NPI number?
The NPI number for Agassiz Optometry Associates PC is 1740567494. It was assigned to this organization in the NPPES registry on November 9, 2011. The provider is doing business as Crookston Eye Clinic.
Where is Agassiz Optometry Associates PC located?
Agassiz Optometry Associates PC is located at 216 S Main St, Crookston, MN 56716. The listed phone number is (218) 281-2020.
What is Agassiz Optometry Associates PC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Agassiz Optometry Associates PC enrolled in Medicare?
Yes. Agassiz Optometry Associates PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Agassiz Optometry Associates PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Agassiz Optometry Associates 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Agassiz Optometry Associates PC accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Agassiz Optometry Associates 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 Agassiz Optometry Associates PC was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Crookston Eye Clinic · NPI 1740567494
Optometrist organization in Crookston, Minnesota. Organization record, active in the CMS NPPES registry since November 9, 2011.
## Identity
- **NPI:** 1740567494 (Entity type: Organization)
- **Enumerated:** November 9, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Agassiz Optometry Associates Pc
- **Organization subpart:** No
- **Authorized official:** Matthew Forgit, OPTOMETRIST
## Practice location
- **Address:** 216 S MAIN ST, Crookston, MN 56716-1939
- **Phone:** (218) 281-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2014
- **Other identifiers:** Other 6691490001 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1740567494) · Data from the CMS NPPES public registry.