Bergstrom Eye And Laser Clinic

LBN: Lance K Bergstrom Md, Pc
Bergstrom Eye And Laser Clinic is an health care organization with primary practice located at 2601 University Dr S , Fargo ND 58103-6025. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Other Service Providers / Specialist. Other Service Providers / Specialist is the primary health care specialty. Lance K Bergstrom Md, Pc can be contacted via phone (701) 235-5200, or through Bergstrom, Lance via phone (701) 235-5200.

Contact Information

Primary practice address
2601 University Dr S Fargo ND 58103-6025
Phone: (701) 235-5200
Fax: (701) 237-0927
Website:
Map and Directions
Authorized official contact:
Name: Bergstrom, Lance Doctor of Medicine (MD)
Phone: (701) 235-5200

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 545 North Dakota
Eye and Vision Services Providers / Optometrist 152W00000X 2581 Minnesota
Other Service Providers / Specialist 174400000X 7230 North Dakota
Other Service Providers / Specialist 174400000X 38105 Minnesota

Profile Details

NPI number 1801819826
LBN Legal business name Lance K Bergstrom Md, Pc
DBA Doing business as Bergstrom Eye And Laser Clinic
Authorized official Bergstrom, Lance Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 22nd, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801819826 NPPES
North Dakota Other 01068001 BLUE CROSS OF ND
North Dakota Other 33A70BE BLUE CROSS OF ND
North Dakota Other 33A70BE BLUE CROSS OF ND
North Dakota MEDICAID 12698 BLUE CROSS OF ND
North Dakota Other 33A70BE BLUE CROSS OF ND
North Dakota Other 01068001 BLUE CROSS OF ND

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