Active NPI
Daniel S Rabbitt, OD
- Optometrist
- N Sioux City, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0547
- Practice address
- 206 Military Rd
N Sioux City, SD 57049 - Phone
- (605) 232-3937
- Fax
- (605) 235-1350
- NPI assigned
- Oct 25, 2005
- Last updated
- Apr 8, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0547 | SD | Primary |
Addresses
Primary practice location
206 Military Rd
N Sioux City, SD 57049
Mailing address
PO Box 1993
N Sioux City, SD 57049-1993
Phone (605) 232-3937
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9200623 | Medicaid | SD | |
| 20033 | Other | SPECTERA | |
| 0541748 | Medicaid | IA | |
| 10024990600 | Medicaid | NE | |
| 0005536 | Other | SD | BLUE CROSS BLUE SHIELD |
| 29577 | Other | AVESIS |
Other names 1
- Daniel Scott Rabbitt
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 River Dr
North Sioux City, SD 57049-3147
Phone (605) 232-3937
PO Box
Suite 1993
N Sioux City, SD 57049
PO Box
Suite 1993
North Sioux City, SD 57049-1993
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02120 | IA | MD | Pediatric Physical Therapist |
| 0547 | SD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outpost Optical Inc | Optometrist | Current | Accepting new patients |
Locations
100 River Dr
North Sioux City, SD 57049
Phone (605) 232-3937
206 Military Rd
North Sioux City, SD 57049
Phone (605) 232-3937
Interoperability endpoints
- danielrabbitt@direct.revolutionehr.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- North Sioux City, SD
- NPI 1538309604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1134119761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1993",
"city": "N SIOUX CITY",
"state": "SD",
"postal_code": "570491993",
"telephone_number": "605-232-3937",
"fax_number": "605-235-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 MILITARY RD",
"city": "N SIOUX CITY",
"state": "SD",
"postal_code": "57049",
"telephone_number": "605-232-3937",
"fax_number": "605-235-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABBITT",
"first_name": "DANIEL",
"middle_name": "S",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SD",
"license": "0547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9200623",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "20033",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0541748",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10024990600",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0005536",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "29577",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANIEL",
"last_name": "RABBITT",
"middle_name": "SCOTT",
"credential": "OD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in N Sioux City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.