OrganizationActive
Sanford Health of Northern Minnesota
NPI 1154587780 · Ophthalmology Physician · Bemidji, MN
Provider details
- NPI number
- 1154587780
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tony Morrison, Vice President, Revenue Cycle(605) 328-8380
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Optometrist152W00000X
Eye and Vision Services Providers
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Eyewear Supplier332H00000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1611 Anne St Nw
Ste 7
Bemidji, MN 56601-5114
Phone: (218) 333-2020
Fax: (218) 333-2019
Street-level locationGet directions
Mailing address
Po Box 5074
Sioux Falls, SD 57117-5074
Other names (DBA / former)
- Doing business as
- Sanford Health 1611 Eye Center & Optical
- Doing business as
- Sanford Health 1611 Eye Center & Optical
Additional practice locations (1)
- 1611 Anne St Nw Ste 7Bemidji, MN 56601-5114Phone: (218) 333-2020Fax: (218) 333-2019
Registry dates
- Enumerated
- 2008-08-04
- Last updated
- 2025-01-23
- Certified
- 2025-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.