BERGSTROM EYE AND LASER CLINIC
NPI 1801819826
Specialist in Fargo, ND

Active since July 25, 2006CLIA 35D1083350 · Waiver
2601 UNIVERSITY DR S, FARGO, ND 58103(701) 235-5200(701) 237-0927 Get Directions Write a Review

NPPES record last updated: July 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1801819826
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLANCE K BERGSTROM MD, PC
Location Address2601 UNIVERSITY DR SFargo, ND 58103-6025
Mailing Address2601 University Dr SFargo, ND 58103-6025 · (701) 235-5200 · Fax (701) 237-0927
Fax(701) 237-0927
Organization SubpartNo
Authorized OfficialLance BergstromOwner · (701) 235-5200
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 22, 2010
NPI 1801819826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in ND · 7230 Licensed in MN · 38105
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedOptometristTaxonomy 152W00000X · License 545 (ND), 2581 (MN)
2601 UNIVERSITY DR S, Fargo, ND 58103

Other Names 1

Doing Business AsBergstrom Eye And Laser Clinic

Other Identifiers 7

Medicare ID-Type UnspecifiedN711226ND · Noridian Medicare
Other33A70BEMN · Blueplus Of Mn
Other01068001ND · Blue Cross Of Nd
Other33A70BEMN · Blue Cross Of Mn
Other33A70BEMN · Comprehensive Care Servic
Medicaid12698ND
Other01068001ND · Blue Cross Federal

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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, ND
Active · expires Apr 30, 2028
CLIA Number35D1083350
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorDr. Lance K. Bergstrom
Laboratory Phone(701) 235-5200
Laboratory LocationBergstrom Eye & Laser Clinic2601 S University, Fargo, ND 58103
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Specialist
2601 UNIVERSITY DR S
FARGO, ND 58103
Optometrist
2601 UNIVERSITY DR S
FARGO, ND 58103
Optometrist
2601 UNIVERSITY DR S
FARGO, ND 58103

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 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.

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 Blue Cross Blue Shield of North Dakota, Medica 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.