Provider Demographics
NPI:1427083401
Name:SCHEEL, LORI YL (OD)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:YL
Last Name:SCHEEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6001
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58108-6001
Mailing Address - Country:US
Mailing Address - Phone:701-364-3300
Mailing Address - Fax:701-364-8906
Practice Address - Street 1:1702 UNIVERSITY DR S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-4940
Practice Address - Country:US
Practice Address - Phone:701-364-3300
Practice Address - Fax:701-364-8906
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND444152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND60361Medicaid
ND858323400Medicaid
ND870444OtherND VISION #
NDHP25708OtherHEALTHPARTNERS #
ND2201151OtherMEDICA #
NDND200098OtherLHS #
ND171037OtherUCARE #
ND2201520OtherMEDICA #
ND35Q20SCOtherMNBS #
MN8898OtherNDBS #
NDDA9011015582OtherPREFERRED ONE #
ND13252OtherSIOUX VALLEY #
ND676712OtherAMERICA'S PPO/ARAZ #
ND800444OtherND VISION #
ND8894OtherNDBS #
ND06011SCOtherMNBS #
ND2201150OtherMEDICA #
ND8894Medicare ID - Type UnspecifiedND MEDICARE #
ND06011SCOtherMNBS #
ND60361Medicaid