Basic Information
| Provider Information | |||||||||
| NPI: | 1427083401 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHEEL | ||||||||
| FirstName: | LORI | ||||||||
| MiddleName: | Y.L. | ||||||||
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| Credential: | OD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 6001 | ||||||||
| Address2: | |||||||||
| City: | FARGO | ||||||||
| State: | ND | ||||||||
| PostalCode: | 581086001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7013643300 | ||||||||
| FaxNumber: | 7013648906 | ||||||||
| Practice Location | |||||||||
| Address1: | 1702 UNIVERSITY DR S | ||||||||
| Address2: | |||||||||
| City: | FARGO | ||||||||
| State: | ND | ||||||||
| PostalCode: | 581034940 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7013643300 | ||||||||
| FaxNumber: | 7013648906 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2006 | ||||||||
| LastUpdateDate: | 09/20/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 444 | ND | Y | Eye and Vision Services Providers | Optometrist |
ID Information
| ID | Type | State | Issuer | Description | 60361 | 05 | ND | MEDICAID | 858323400 | 05 | ND | MEDICAID | 870444 | 01 | ND | ND VISION # | OTHER | HP25708 | 01 | ND | HEALTHPARTNERS # | OTHER | 2201151 | 01 | ND | MEDICA # | OTHER | ND200098 | 01 | ND | LHS # | OTHER | 171037 | 01 | ND | UCARE # | OTHER | 2201520 | 01 | ND | MEDICA # | OTHER | 35Q20SC | 01 | ND | MNBS # | OTHER | 8898 | 01 | MN | NDBS # | OTHER | DA9011015582 | 01 | ND | PREFERRED ONE # | OTHER | 13252 | 01 | ND | SIOUX VALLEY # | OTHER | 676712 | 01 | ND | AMERICA'S PPO/ARAZ # | OTHER | 800444 | 01 | ND | ND VISION # | OTHER | 8894 | 01 | ND | NDBS # | OTHER | 06011SC | 01 | ND | MNBS # | OTHER | 2201150 | 01 | ND | MEDICA # | OTHER |