Individual provider Active NPI

Alexander Permann, OD

  • Optometrist
  • Chamberlain, SD
National Provider Identifier
1124400395
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
718 Issued in SD
Practice address
103 E Lawler Ave
Chamberlain, SD 57325-1319
Phone
(605) 734-5613
NPI assigned
Jun 24, 2015
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 718 SD Primary

Addresses

Primary practice location

103 E Lawler Ave
Chamberlain, SD 57325-1319

Mailing address

103 E Lawler Ave
PO Box 490
Chamberlain, SD 57325-1319
Phone (605) 734-5613

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
I20150723009422 SD Practitioner - Optometry 8325351000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Eye Care PCGroup PAC ID 9234520503, 3 clinicians

Practice addresses (Care Compare)

103 E Lawler Ave
Chamberlain, SD 57325-1319
Phone (605) 734-5613

3204 1St Dakota Dr
Yankton, SD 57078-4615
Phone (605) 665-8688

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
718SDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
605 Vision, PC Optometrist CurrentSince Jun 1, 2016 Accepting new patients
Meridian Eye Care PC Optometrist CurrentSince May 27, 2024 Accepting new patients

Locations

103 E Lawler Ave
Chamberlain, SD 57325
Phone (605) 734-5613

103 E Lawler Ave
#L
Chamberlain, SD 57325
Phone (605) 734-5613

3204 First Dakota Dr
Yankton, SD 57078
Phone (605) 665-8688

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1124400395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E LAWLER AVE",
            "address_2": "PO BOX 490",
            "city": "CHAMBERLAIN",
            "state": "SD",
            "postal_code": "573251319",
            "telephone_number": "605-734-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E LAWLER AVE",
            "city": "CHAMBERLAIN",
            "state": "SD",
            "postal_code": "573251319",
            "telephone_number": "605-734-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERMANN",
        "first_name": "ALEXANDER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamberlain, SD

Sources for this page

Verify at the official NPI Registry.