Active NPI
Krall Optometric Prof LLC
Doing business as Krall Eye Clinic
- Optometrist
- Mitchell, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- KRALL OPTOMETRIC PROF LLC
- Doing business as
- Krall Eye Clinic
- Practice address
- 1415 N Sanborn Blvd
Mitchell, SD 57301-1015 - Phone
- (605) 996-2020
- NPI assigned
- Mar 12, 2007
- Last updated
- Jul 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joe Krall, O.D.
- Title
- Optometrist
- Phone
- (605) 996-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1415 N Sanborn Blvd
Mitchell, SD 57301-1015
Mailing address
1415 N Sanborn Blvd
Mitchell, SD 57301-1015
Other names 1
- Krall Eye Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Krall Optometric Prof LLC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1415 N Sanborn Blvd
#777
Mitchell, SD 57301
Phone (605) 996-2020
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Mitchell, SD
- NPI 1407344559
-
- Optometrist
- Mitchell, SD
- NPI 1376433953
-
- Optometrist
- Mitchell, SD
- NPI 1083741839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373587200000",
"number": "1013049410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 N SANBORN BLVD",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573011015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 N SANBORN BLVD",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573011015",
"telephone_number": "605-996-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRALL OPTOMETRIC PROF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2013-07-12",
"status": "A",
"authorized_official_last_name": "KRALL",
"authorized_official_first_name": "JOE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "605-996-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Krall Eye Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mitchell, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.