Individual provider Active NPI

Thomas George Pratt, O.D.

  • Optometrist
  • Dakota Dunes, SD
National Provider Identifier
1073661187
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
650 Issued in SD
Practice address
101 Tower Rd
Suite 300
Dakota Dunes, SD 57049-5007
Phone
(605) 217-4500
Fax
(605) 217-4503
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 650 SD Primary
Optometrist 152W00000X 1840 IA

Addresses

Primary practice location

101 Tower Rd
Suite 300
Dakota Dunes, SD 57049-5007

Mailing address

101 Tower Road
Suite 300
Dakota Dunes, SD 57049-5098
Phone (605) 217-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080409000058 SD Practitioner - Optometry 5597842021 Reassigns benefits to 1 organization
I20181108002060 IA Practitioner - Optometry 5597842021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beth Bruening PCGroup PAC ID 4284738378, 4 clinicians

Practice addresses (Care Compare)

5500 Sergeant Rd
Suite 200
Sioux City, IA 51106-4716
Phone (605) 217-4500

600 N Sioux Point Rdsts
Dakota Dunes, SD 57049-5000
Phone 6052174500244500

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as group
Quality
98.67
Improvement activities
40
Cost
65.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01840IAMDClinical Social Worker
1840IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Bruening PC Optometrist CurrentSince Feb 25, 2008 Accepting new patients

Locations

5500 Sergeant Rd
Ste 200
Sioux City, IA 51106
Phone (605) 217-4500

101 Tower Rd
Ste 300
North Sioux City, SD 57049
Phone (605) 217-4500

600 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-4320

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1073661187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWER ROAD",
            "address_2": "SUITE 300",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495098",
            "telephone_number": "605-217-4500",
            "fax_number": "605-217-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWER RD",
            "address_2": "SUITE 300",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495007",
            "telephone_number": "605-217-4500",
            "fax_number": "605-217-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "THOMAS",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "650",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

Verify at the official NPI Registry.