Individual provider Active NPI

Jarrell Freitag, OD

  • Optometrist
  • Sioux Falls, SD
National Provider Identifier
1013401637
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
743 Issued in SD
Practice address
2510 S Louise Ave
Sioux Falls, SD 57106
Phone
(605) 361-1882
NPI assigned
Jun 18, 2018
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 743 SD Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2510 S Louise Ave
Sioux Falls, SD 57106

Mailing address

2510 S Louise Ave
Sioux Falls, SD 57106-4331
Phone (605) 361-1882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180806002533 SD Practitioner - Optometry 9739436460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Care Associates LLPGroup PAC ID 2466433990, 17 clinicians

Practice addresses (Care Compare)

311 S Phillips Ave
Suite 100
Sioux Falls, SD 57104-6478
Phone (605) 334-5741

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
85.15
Promoting interoperability
73
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Care Associates, LLP Optometrist CurrentSince Sep 1, 2019 Accepting new patients
TKC Optical, Inc. PastSince Jul 10, 2018 Accepting new patients
LG Optical Enterprises Past Accepting new patients
Hawkeye Exact, LLC Optometrist PastSince Nov 24, 2019 Accepting new patients

Locations

310 8th Ave NW
Aberdeen, SD 57401
Phone (605) 225-2020

310 8th Ave NW
Ste 503
Aberdeen, SD 57401
Phone (605) 225-2020

952 22nd Ave S
Brookings, SD 57006
Phone (605) 225-2020

200 W 37th St
Sioux Falls, SD 57105
Phone (605) 336-2020

311 S Phillips Ave
Ste 100
Sioux Falls, SD 57104
Phone (605) 334-5741

725 E Figzel Ct
Ste 101
Tea, SD 57064
Phone (605) 498-0427

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1013401637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 S LOUISE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571064331",
            "telephone_number": "605-361-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S LOUISE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57106",
            "telephone_number": "605-361-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAG",
        "first_name": "JARRELL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "743",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.