NPIMap

Organization Active NPI

Angela R. Gulbranson OD, PC

Doing business as Visions - Vision Therapy Center

  • Vision Therapy Optometrist
  • Sioux Falls, SD
National Provider Identifier
1154754489
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
565 Issued in SD
Legal business name
ANGELA R. GULBRANSON OD, PC
Doing business as
Visions - Vision Therapy Center
Visions Eye Care Therapy Center
Practice address
6205 S Minnesota Ave
Sioux Falls, SD 57108-2559
Phone
(605) 271-7100
Fax
(605) 271-7781
NPI assigned
Aug 9, 2013
Last updated
May 13, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ANGELA R. GULBRANSON, OD P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Alison Pulford
Title
Office Manager
Phone
(605) 274-6717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 565 SD Primary

Addresses

Primary practice location

6205 S Minnesota Ave
Sioux Falls, SD 57108-2559

Mailing address

6205 S Minnesota Ave
Sioux Falls, SD 57108-2559
Phone (605) 271-7100

Other identifiers 1

IdentifierTypeStateIssuer
9203263MedicaidSD

Other names 2

  • Visions - Vision Therapy Center Doing business as
  • Visions Eye Care Therapy Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041013001120 SD Part B Supplier - Clinic/Group Practice 9830159979 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sioux Falls, SD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Angela R Gulbranson OD PC

Locations

6201 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 274-6717

6205 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 271-7100

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1154754489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082559",
            "telephone_number": "605-271-7100",
            "fax_number": "605-271-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082559",
            "telephone_number": "605-271-7100",
            "fax_number": "605-271-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA R. GULBRANSON OD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGELA R. GULBRANSON, OD P.C.",
        "enumeration_date": "2013-08-09",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "PULFORD",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-274-6717"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "SD",
            "license": "565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203263",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visions - Vision Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visions - Vision Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visions Eye Care Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.