Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Staci Lynn Collison

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588949648

Staci Lynn Collison is an Optometry in Bemidji, Minnesota. Graduated from Pacific University - College of Optometry in 2014, 12 years ago. Practices with Sanford Health of Northern Minnesota, a 349-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Trained at
Pacific University - College of Optometry
Licensed in
MN
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

506 Beltrami Ave NW
Bemidji, MN 56601
Phone: (218) 751-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2043 College Way, Forest Grove, OR 97116-1756 — (715) 222-0619

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3378 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588949648
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2011
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2014 (12 years in practice)
Group practice Sanford Health Of Northern Minnesota — 349 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bemidji