Leidenix PC

Leidenix PC is a healthcare organization registered as Optometrist in Bismarck, ND, holding Type 2 (organization) NPI 1063602050 since 2007. The authorized official on file is Melissa Mattson, Manager.

✓ Active NPI ✓ Valid NPI checksum

NPI	1063602050
Entity type	Organization (Type 2)
Legal business name	Leidenix PC
Other name	<Unavail>
Practice address	1400 SKYLINE BLVD, Bismarck, ND, 58503
Phone	7012554117
Fax	7012554174
Enumeration date	2007-07-26
Last updated in NPPES	2018-10-03

Authorized official

Name	Melissa Mattson
Title	Manager
Phone	7016630012

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
152W00000X	Optometrist	Primary	511	ND

Other identifiers

Identifier	Type	State	Issuer
60631	Medicaid	ND	—
1461913	Medicaid	ND	—

Copy-ready billing details

Provider: Leidenix PC
NPI: 1063602050
Taxonomy: 152W00000X (Optometrist)
Address: 1400 SKYLINE BLVD, Bismarck, ND, 58503

Providers at this address

NPI	Name	Type	Specialty	Location
1770663510	Wal-Mart Stores, Inc.	Organization	Eyewear Supplier	Bismarck, ND

Verify this record

Cross-check NPI 1063602050 against the authoritative CMS record: view Leidenix PC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Leidenix PC located?

The practice location on file with NPPES is in Bismarck, ND.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-10-03. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-10-03.