| Vance Thompson Vision Clinic Prof Llc | |
|
3101 W 57th St, Sioux Falls, SD 57108-3162 | |
| (605) 361-3937 | |
| (605) 371-7199 |
| Full Name | Vance Thompson Vision Clinic Prof Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 3101 W 57th St, Sioux Falls, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205193554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (South Dakota) | Secondary |
| 207W00000X | Ophthalmology | (South Dakota) | Primary |
| Provider Name | Vance M Thompson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073519989 PECOS PAC ID: 6002708054 Enrollment ID: I20040602000321 |
| Provider Name | Douglas D Wallin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114923034 PECOS PAC ID: 5092784934 Enrollment ID: I20040928000926 |
| Provider Name | Keith O Rasmussen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831195759 PECOS PAC ID: 8820055866 Enrollment ID: I20041211000163 |
| Provider Name | Justin A Schweitzer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023047867 PECOS PAC ID: 6204838717 Enrollment ID: I20070213000610 |
| Provider Name | John P Berdahl |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871761577 PECOS PAC ID: 5092886127 Enrollment ID: I20090819000133 |
| Provider Name | Jason Schmit |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124220322 PECOS PAC ID: 7618120072 Enrollment ID: I20130415000487 |
| Provider Name | Mitchel J Ibach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184934069 PECOS PAC ID: 8527200435 Enrollment ID: I20140925000015 |
| Provider Name | Kayla Lou Karpuk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033639851 PECOS PAC ID: 9739451311 Enrollment ID: I20170816002759 |
| Provider Name | Larae Zimprich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659931145 PECOS PAC ID: 7719212075 Enrollment ID: I20190710000877 |
| Provider Name | Daniel C Terveen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053791715 PECOS PAC ID: 1759694235 Enrollment ID: I20190910001553 |
| Provider Name | Kristin Ann Mohr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407585383 PECOS PAC ID: 6103208624 Enrollment ID: I20220801000742 |
| Provider Name | Tanner John Ferguson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326545062 PECOS PAC ID: 8820346836 Enrollment ID: I20220802003642 |
| Provider Name | Brent Allen Kramer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689106460 PECOS PAC ID: 9638440852 Enrollment ID: I20220812002167 |
| Provider Name | Zachary Goodwin Keenum |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639605223 PECOS PAC ID: 7012397243 Enrollment ID: I20230421002407 |
| Provider Name | Jed Hamad Assam |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427584283 PECOS PAC ID: 0244639748 Enrollment ID: I20230727003963 |
| Provider Name | Samantha A Rivet |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366285017 PECOS PAC ID: 2668918020 Enrollment ID: I20240722001508 |
| Provider Name | Anthony Phy Mai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699394874 PECOS PAC ID: 7618372681 Enrollment ID: I20240807001394 |
| Provider Name | Claire Forsythe Purser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861238164 PECOS PAC ID: 3375082068 Enrollment ID: I20240826003075 |
| Provider Name | Hilary Lynn Olinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063259588 PECOS PAC ID: 2567901051 Enrollment ID: I20240828002743 |
| Mailing Address | Practice Location Address |
|---|---|
| Vance Thompson Vision Clinic Prof Llc 3101 W 57th St, Sioux Falls, SD 57108-3162 Ph: (605) 361-3937 | Vance Thompson Vision Clinic Prof Llc 3101 W 57th St, Sioux Falls, SD 57108-3162 Ph: (605) 361-3937 |