Organization
S SJOBERG PLC
Active
Parent organization
S SJOBERG PCL
Organization subpart
Yes
Provider details
NPI number
Legal business name
S SJOBERG PCL
Authorized official
DR. STACY ANN SJOBERG MD PHD (SOLE PROPRIETOR)
(218) 546-5108
Entity
Organization
Contact information
Practice address
7636 DESIGN RD, SUITE 105, BAXTER, MN 56425-8677
(218) 825-1976
(218) 828-9869
Mailing address
1 3RD AVE NE, CROSBY, MN 56441-1665
(218) 546-5108
(218) 546-5736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/28/2014
Last updated
03/16/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up