Individual provider Active NPI

Daniel S Rabbitt, OD

  • Optometrist
  • N Sioux City, SD
National Provider Identifier
1134119761
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0547 Issued in SD
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9200623MedicaidSD
20033OtherSPECTERA
0541748MedicaidIA
10024990600MedicaidNE
0005536OtherSDBLUE CROSS BLUE SHIELD
29577OtherAVESIS

Other names 1

  • Daniel Scott Rabbitt Professional name

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
I20091215000726 SD Practitioner - Optometry 5395885784 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02120IAMDPediatric Physical Therapist
0547SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Outpost Optical Inc Optometrist CurrentSince Sep 22, 2009 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.