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

Tracie Malsom, OD

Individual provider Optometrist · NPI 1720038441

Tracie Malsom, OD is an Optometry in Fargo, North Dakota. Qualified in 2000, 26 years ago. Practices with Lance K Bergstrom MD PC, a 3-clinician group and accepts Medicare assignment. Licensed in Indiana, Minnesota and North Dakota.

Years since qualifying
26
Licensed in
IN, MN, ND
In the registry since
2006
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1695 43rd St S
Fargo, ND 58103-3317
Phone: (701) 235-3937
Fax: (701) 356-3937
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 642 (ND)
Optometrist Taxonomy 152W00000X · Licence 18003360 (IN)
Optometrist Taxonomy 152W00000X · Licence 3046 (MN)

Record details

NPI number1720038441
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESSeptember 27, 2013
Mailing address1695 43rd St S, Fargo, ND 58103-3317

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Lance K Bergstrom Md Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fargo