BERGSTROM EYE AND LASER CLINIC
NPI 1801819826
Specialist in Fargo, ND
About Bergstrom Eye And Laser Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERGSTROM EYE AND LASER CLINIC (NPI 1801819826) is a healthcare organization registered as a specialist in Fargo, North Dakota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Lance Bergstrom, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 7
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)
Bergstrom Eye And Laser Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Bergstrom Eye And Laser Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Waiver 35D1083350
Bergstrom Eye & Laser Clinic · Fargo, NDFrequently 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 Lance K Bergstrom MD, PC's NPI number?
The NPI number for Lance K Bergstrom MD, PC is 1801819826. It was assigned to this organization in the NPPES registry on July 25, 2006. The provider is doing business as Bergstrom Eye And Laser Clinic.
Where is Lance K Bergstrom MD, PC located?
Lance K Bergstrom MD, PC is located at 2601 University Dr S, Fargo, ND 58103. The listed phone number is (701) 235-5200.
What is Lance K Bergstrom MD, PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Lance K Bergstrom MD, PC enrolled in Medicare?
Yes. Lance K Bergstrom MD, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lance K Bergstrom MD, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Lance K Bergstrom MD, 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. The largest specialties are Optometry (4), Nurse Practitioner (1) and Ophthalmology (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lance K Bergstrom MD, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 35D1083350) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lance K Bergstrom MD, PC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Lance K Bergstrom MD, 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 Lance K Bergstrom MD, PC was last updated on July 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Bergstrom Eye And Laser Clinic · NPI 1801819826
Specialist organization in Fargo, North Dakota. Organization record, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1801819826 (Entity type: Organization)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Lance K Bergstrom Md, Pc
- **Organization subpart:** No
- **Authorized official:** Lance Bergstrom, OWNER
## Practice location
- **Address:** 2601 UNIVERSITY DR S, Fargo, ND 58103-6025
- **Phone:** (701) 235-5200 · **Fax:** (701) 237-0927
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (4), Nurse Practitioner (1), Ophthalmology (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2010
- **Other identifiers:** Medicare ID-Type Unspecified N711226 (ND); Other 33A70BE (MN); Other 01068001 (ND); and 4 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801819826) · Data from the CMS NPPES public registry.