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Lumen Vision PC

NPI 1447879663ActiveOrganization· Optometrist· Fargo, ND

Optometrist in Fargo, North Dakota, registered in NPPES in April 2020. The authorized official on file is Ryan Thomas Capouch, OD, Founder/Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1447879663
StatusActive
Entity typeOrganization
NPI issuedApr 9, 2020
Last updated in NPPESJun 2, 2021
Certified by providerJun 2, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (ND)

Medicare sources and data years

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