Individual provider Active NPI

Andrea L McCann, O.D.

  • Optometrist
  • Sioux Falls, SD
National Provider Identifier
1083607493
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
636 Issued in SD
Practice address
6601 S Minnesota Ave.
Suite 200
Sioux Falls, SD 57108
Phone
(605) 336-6294
Fax
(605) 336-0266
NPI assigned
Aug 31, 2005
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 636 SD Primary
Optometrist 152W00000X 2392 IA

Addresses

Primary practice location

6601 S Minnesota Ave.
Suite 200
Sioux Falls, SD 57108

Mailing address

6601 S Minnesota Ave Ste 200
Sioux Falls, SD 57108-2564
Phone (605) 336-6294

Other identifiers 5

IdentifierTypeStateIssuer
10024952400MedicaidNE
1083607493MedicaidIA
9203740MedicaidSD
1083607493MedicaidMN
10025032100MedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amccann@ophltd.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 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
I20071127000369 SD Practitioner - Optometry 9133195761 Reassigns benefits to 1 organization
Practice locations: Brookings, SD
I20200116001861 MN Practitioner - Optometry 9133195761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology LTDGroup PAC ID 0547152571, 13 clinicians

Practice addresses (Care Compare)

1415 N Sanborn Blvd
Mitchell, SD 57301-1015
Phone (605) 336-6294

6601 S Minnesota Ave
Suite 200
Sioux Falls, SD 57108-2564
Phone (605) 336-6294

722 10TH St
Worthington, MN 56187-2725
Phone (507) 376-6141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2392IAMDOptometrist
636SDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology LTD CurrentSince Aug 1, 2013 Accepting new patients
Ophthalmology LTD CurrentSince Aug 1, 2013 Accepting new patients

Locations

722 10th St
Worthington, MN 56187
Phone (507) 376-6141

436 E 4th St
Dell Rapids, SD 57022
Phone (605) 428-5701

1415 N Sanborn Blvd
Mitchell, SD 57301
Phone (605) 996-2020

6601 S Minnesota Ave
Ste 200
Sioux Falls, SD 57108
Phone (605) 731-5640

Organizations & group practices 2

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1083607493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 S MINNESOTA AVE STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082564",
            "telephone_number": "605-336-6294",
            "fax_number": "605-336-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 S MINNESOTA AVE.",
            "address_2": "SUITE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-336-6294",
            "fax_number": "605-336-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "ANDREA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "636",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2392",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024952400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083607493",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203740",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083607493",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025032100",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amccann@ophltd.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "6601 S Minnesota Ave.",
            "address_2": "Suite 200",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "57108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.