Vance Thompson Vision Sioux City, Prof Llc is a medicare enrolled "Ophthalmology" provider in South Sioux City, Nebraska. Their current practice location is
201 E 4th St, South Sioux City, Nebraska. You can reach out to their office (for appointments etc.) via phone at
(605) 361-3937.
Vance Thompson Vision Sioux City, Prof Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Vance Thompson Vision Sioux City, Prof Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1255929089.
Healthcare Provider's Profile
| Full Name | Vance Thompson Vision Sioux City, Prof Llc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 201 E 4th St, South Sioux City, Nebraska |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255929089
- Provider Enumeration Date: 01/07/2021
- Last Update Date: 01/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971918665
- Enrollment ID: O20210210000688
Medical Identifiers
Medical identifiers for Vance Thompson Vision Sioux City, Prof Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255929089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Vance Thompson Vision Sioux City, Prof Llc acts as a billing entity for following providers:
| Provider Name | Jason Schmit |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1124220322
PECOS PAC ID: 7618120072
Enrollment ID: I20200508002405 |
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| Provider Name | Daniel C Terveen |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1053791715
PECOS PAC ID: 1759694235
Enrollment ID: I20201207002283 |
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| Provider Name | Larae Zimprich |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1659931145
PECOS PAC ID: 7719212075
Enrollment ID: I20201215002082 |
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| Provider Name | Spenser Morton |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1376923144
PECOS PAC ID: 6507179991
Enrollment ID: I20210305000724 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vance Thompson Vision Sioux City, Prof Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vance Thompson Vision Sioux City, Prof Llc
3101 W 57th St,
Sioux Falls, SD 57108-3162
Ph: (605) 361-3937 | Vance Thompson Vision Sioux City, Prof Llc
201 E 4th St,
South Sioux City, NE 68776-1706
Ph: (605) 361-3937 |
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