Active NPI
Angela R. Gulbranson, OD, PC
- Optometrist
- Sioux Falls, SD
National Provider Identifier
1235309162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- SD565
- Legal business name
- ANGELA R. GULBRANSON, OD, PC
- Practice address
- 6201 S Minnesota Ave
Sioux Falls, SD 57108-2559 - Phone
- (605) 274-6717
- Fax
- (605) 275-4804
- NPI assigned
- Mar 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allison Pulford
- Title
- Office Manager
- Phone
- (605) 274-6717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | SD565 | SD | Primary |
Addresses
Primary practice location
6201 S Minnesota Ave
Sioux Falls, SD 57108-2559
Mailing address
6201 S Minnesota Ave
Sioux Falls, SD 57108-2559
Phone (605) 274-6717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9203263 | Medicaid | SD |
Other names 1
- Visions Eye Care & Therapy Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Vision Therapy Optometrist
- Sioux Falls, SD
- NPI 1154754489
O20041013001120
National Provider Directory
National Provider DirectoryLocations
106 W 69th St
Sioux Falls, SD 57108
Phone (605) 274-6717
6144 S Lyncrest 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.
-
- Optometrist
- Madison, SD
- NPI 1538892112
-
- Optometrist
- Sioux Falls, SD
- NPI 1962835017
-
- Optometrist
- Sioux Falls, SD
- NPI 1417040452
-
- Optometrist
- Tea, SD
- NPI 1699723387
-
- Occupational Therapist
- Sioux Falls, SD
- NPI 1922241173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557446400000",
"number": "1235309162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 S MINNESOTA AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082559",
"telephone_number": "605-274-6717",
"fax_number": "605-275-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 S MINNESOTA AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082559",
"telephone_number": "605-274-6717",
"fax_number": "605-275-4804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELA R. GULBRANSON, OD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-06",
"last_updated": "2019-05-10",
"status": "A",
"authorized_official_last_name": "PULFORD",
"authorized_official_first_name": "ALLISON",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "605-274-6717"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "SD",
"license": "SD565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9203263",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"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 10, 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.