Shane Nicholas Vogel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

685 Issued in SD

Practice address

2325 W 57TH St
Sioux Falls, SD 57108-5046

Phone

(605) 275-6100

Fax

(605) 275-6105

NPI assigned

Aug 29, 2006

Last updated

Oct 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Specialty

Optometry

Education

Southern College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sioux Falls Family Vision PCGroup PAC ID 3577461946, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sioux Falls Family Vision PC

  • Optometrist
  • Sioux Falls, SD
  • NPI 1831259191
  Medicare reassignment Care Compare group NPD
• Kingsley Vision Center PC

  • Optometrist
  • Kingsley, IA
  • NPI 1639252331
  NPD (past)
• Southern Hills Eye Care PC

  • Optometrist
  • Sioux City, IA
  • NPI 1811084353
  NPD (past)
• Vision Care Clinic PC

  • Optometrist
  • Denison, IA
  • NPI 1083668206
  NPD (past)
• Vision Care Clinic PC

  • Optometrist
  • Manning, IA
  • NPI 1437104353
  NPD (past)
• Vision Care Clinic PC

  • Optometrist
  • Missouri Valley, IA
  • NPI 1548215395
  NPD (past)
• Vision Care Clinic PC

  • Optometrist
  • Onawa, IA
  • NPI 1912951997
  NPD (past)
• Vision Care Clinic PC

  • Optometrist
  • Mapleton, IA
  • NPI 1932154804
  NPD (past)
• Vision Care Clinic, P.C.

  • Optometrist
  • Hawarden, IA
  • NPI 1720478282
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1225146160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085046",
            "telephone_number": "605-275-6100",
            "fax_number": "605-275-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085046",
            "telephone_number": "605-275-6100",
            "fax_number": "605-275-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "SHANE",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02358",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0218339",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "18020",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL & OTHER STATES",
            "identifier": "421497917",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "A004235",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Jo Vogel, PA-C
• Jack Jerome Vogel
• Joseph C Vogel, MD
• Lois Ann Vogel, MS.PTPCS
• Mark Vogel, D.C.
• Cheri Vogt
• H. Bruce Vogt, MD
• Shannon L Volker
• Alexis Volkert
• Artur A Volkotrub, PHARMD, RPH

• Optometrist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.

Verify at the official NPI Registry.