EYE TRAUMA SERVICES LLC
NPI 1851226369
Ophthalmology in Grand Forks, ND

Active since June 16, 2026
1200 S COLUMBIA RD, GRAND FORKS, ND 58201(470) 514-0551 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eye Trauma Services Llc NPPES

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

EYE TRAUMA SERVICES LLC (NPI 1851226369) is a healthcare organization registered as an ophthalmology in Grand Forks, North Dakota and active in the NPI registry since June 2026. The organization lists Joe Bradley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1851226369
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEYE TRAUMA SERVICES LLC
Location Address1200 S COLUMBIA RDGrand Forks, ND 58201-4036
Mailing Address3343 Peachtree Rd Ne Ste 145Atlanta, GA 30326-1427 · (470) 514-0551
Organization SubpartNo
Authorized OfficialJoe BradleyAdministrator · (470) 514-0551
Enumeration DateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1851226369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1200 S COLUMBIA RD, Grand Forks, ND 58201

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eye Trauma Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Eye Trauma Services LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Ophthalmology
NPI 1528380441
1100 JOHNSON FY RD NE STE 140
Atlanta, GA 30342
(404) 531-9988
✔ PECOS✔ Accepts Medicare1,170 mi
Ophthalmology
NPI 1063724797
1799 KIRBY DR STE 140
Pearland, TX 77584
(713) 965-4468
✔ PECOS✔ Accepts Medicare1,268 mi

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 Eye Trauma Services LLC's NPI number?

The NPI number for Eye Trauma Services LLC is 1851226369. It was assigned to this organization in the NPPES registry on June 16, 2026.

Where is Eye Trauma Services LLC located?

Eye Trauma Services LLC is located at 1200 S Columbia Rd, Grand Forks, ND 58201. The listed phone number is (470) 514-0551.

What is Eye Trauma Services LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Eye Trauma Services LLC enrolled in Medicare?

Yes. Eye Trauma Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eye Trauma Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Eye Trauma Services LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eye Trauma Services LLC was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.