Vance Thompson Vision Clinic Prof LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

VANCE THOMPSON VISION CLINIC PROF LLC

Doing business as

Vance Thompson Vision

Practice address

3101 W 57TH St
Sioux Falls, SD 57108-3162

Phone

(605) 361-3937

Fax

(605) 371-7199

NPI assigned

Apr 11, 2012

Last updated

Jan 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Palmer Berdahl, MDNPI 1871761577

Title

Owner

Phone

(605) 361-3937

Specialties & licenses 2

Addresses

Other names 1

• Vance Thompson Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in SD, NE, MN, MT, ND, IA, CO7 enrollments

Enrollment records 7

Other NPIs on the same Medicare enrollment 1

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

• Vance Thompson Vision Surgery Center Alexandria, LLC

  • Ambulatory Surgical Clinic/Center
  • Alexandria, MN
  • NPI 1346808714

  O20210615000964

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: asingh@vtv.intellechartdirect.net
• Direct secure messaging: awenner@vtv.intellechartdirect.net
• Direct secure messaging: bkramer@vtv.intellechartdirect.net
• Direct secure messaging: cpurser@vtv.intellechartdirect.net
• Direct secure messaging: cryburn@vtv.intellechartdirect.net
• Direct secure messaging: cwilson@vtv.intellechartdirect.net
• Direct secure messaging: ganderson@vtv.intellechartdirect.net
• Direct secure messaging: holinger@vtv.intellechartdirect.net
• Direct secure messaging: jassam@vtv.intellechartdirect.net
• Direct secure messaging: jnelson@vtv.intellechartdirect.net
• Direct secure messaging: jward@vtv.intellechartdirect.net
• Direct secure messaging: khilsabeck@vtv.intellechartdirect.net
• Direct secure messaging: kkarpuk@vtv.intellechartdirect.net
• Direct secure messaging: kmechels@vtv.intellechartdirect.net
• Direct secure messaging: kmohr@vtv.intellechartdirect.net
• Direct secure messaging: ksieps@vtv.intellechartdirect.net
• Direct secure messaging: lholtz@vtv.intellechartdirect.net
• Direct secure messaging: lnguyen@vtv.intellechartdirect.net
• Direct secure messaging: lprovencher@vtv.intellechartdirect.net
• Direct secure messaging: mbosh@vtv.intellechartdirect.net

Practitioners 47

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.

• John Palmer Berdahl, M.D.

  • Ophthalmology Physician
  • Sioux Falls, SD
  • NPI 1871761577
  Medicare reassignment Care Compare group NPD Authorized official
• Gabrielle Kathryn Anderson, OD

  • Optometrist
  • Sioux Falls, SD
  • NPI 1366332249
  Medicare reassignment Care Compare group NPD
• Tanner J Ferguson, MD

  • Ophthalmology Physician
  • Sioux Falls, SD
  • NPI 1326545062

  MN, NE

  Medicare reassignment Care Compare group NPD
• Mitchel Ibach, O.D.

  • Optometrist
  • Sioux Falls, SD
  • NPI 1184934069
  Medicare reassignment Care Compare group NPD
• Natalia Gabriela Morales, MD

  • Ophthalmology Physician
  • Sioux Falls, SD
  • NPI 1518536226

  MN

  Medicare reassignment Care Compare group NPD
• Hilary Lynn Olinger, CNP

  • Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1063259588
  Medicare reassignment Care Compare group NPD
• Samantha A Rivet, OD

  • Optometrist
  • Sioux Falls, SD
  • NPI 1366285017

  NE

  Medicare reassignment Care Compare group NPD
• Justin A Schweitzer, O.D.

  • Optometrist
  • Sioux Falls, SD
  • NPI 1023047867
  Medicare reassignment Care Compare group NPD
• Vance Michael Thompson, MD

  • Ophthalmology Physician
  • Sioux Falls, SD
  • NPI 1073519989
  Medicare reassignment Care Compare group NPD
• Douglas Dean Wallin, OD

  • Optometrist
  • Sioux Falls, SD
  • NPI 1114923034
  Medicare reassignment Care Compare group NPD
• John Glenn Goertz, O.D.

  • Optometrist
  • Omaha, NE
  • NPI 1699709006
  Medicare reassignment Care Compare group NPD
• Kathleen Nicole Holthaus, OD

  • Optometrist
  • Omaha, NE
  • NPI 1215590898
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1205193554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083162",
            "telephone_number": "605-361-3937",
            "fax_number": "605-371-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083162",
            "telephone_number": "605-361-3937",
            "fax_number": "605-371-7199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4909 S 118th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681372213",
            "country_code": "US",
            "telephone_number": "402-506-9970",
            "fax_number": "605-371-7199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 N 22nd Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597187020",
            "country_code": "US",
            "telephone_number": "406-219-0700",
            "fax_number": "605-371-7199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1747 Poly Dr",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591021728",
            "country_code": "US",
            "telephone_number": "406-294-1994",
            "fax_number": "605-371-7199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E 4th St",
            "address_purpose": "LOCATION",
            "city": "South Sioux City",
            "state": "NE",
            "postal_code": "687769916",
            "country_code": "US",
            "telephone_number": "531-625-3941",
            "fax_number": "605-371-7199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Flynn Dr",
            "address_purpose": "LOCATION",
            "city": "Milbank",
            "state": "SD",
            "postal_code": "572521508",
            "country_code": "US",
            "telephone_number": "605-432-4538",
            "fax_number": "605-371-7199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Eastvold Ave",
            "address_purpose": "LOCATION",
            "city": "Ortonville",
            "state": "MN",
            "postal_code": "562781252",
            "country_code": "US",
            "telephone_number": "320-839-2502",
            "fax_number": "605-371-7199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 23rd Ave E",
            "address_purpose": "LOCATION",
            "city": "West Fargo",
            "state": "ND",
            "postal_code": "580787820",
            "country_code": "US",
            "telephone_number": "701-566-5390",
            "fax_number": "605-371-7199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Jefferson St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "MN",
            "postal_code": "563083410",
            "country_code": "US",
            "telephone_number": "320-762-2166",
            "fax_number": "605-371-7199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1136 H Ave NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524024624",
            "country_code": "US",
            "telephone_number": "833-440-7977",
            "fax_number": "605-371-7199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2975 Ginnala Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805383300",
            "country_code": "US",
            "telephone_number": "970-775-5453",
            "fax_number": "605-371-7199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VANCE THOMPSON VISION CLINIC PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BERDAHL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PALMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-361-3937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vance Thompson Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vance Thompson Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bill Vanbeek
• Michelle Linnae Vanbeek, MD
• Cole Vanbockern, DO
• Darah Vanbockern
• Sarah Marie Vanbriesen
• Vance Thompson Vision Surgery Center Prof LLC (Vance Thompson Vision Surgery Center)
• Julie K Vandam, CNP
• Janelle Vande Griend, APRN-CPNP
• Sue Ann Vande Kamp, LPN
• Erin E Vande Lune, CNM

• Ophthalmology Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Ophthalmology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.