Douglas J. Pethe, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2490 Issued in CO

Practice address

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

Phone

(605) 361-3937

Fax

(605) 371-7199

NPI assigned

Feb 7, 2007

Last updated

Aug 6, 2026By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Pacific University - College of Optometry, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.76 of 100Reported as group

Quality

93.43

Improvement activities

40

Cost

44.62

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20225/brand/1/csg/1/fhir/r4

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.

• Associated Eye Care Services, LLC

  • Optometrist
  • Parker, CO
  • NPI 1477690394
  Medicare reassignment NPD
• Glaucoma Consultants of Colorado, PC

  dba Insight Vision Group

  • Ophthalmology Physician
  • Parker, CO
  • NPI 1447201009
  Medicare reassignment NPD
• Mic Optical Sourcing,Inc.

  • Optometrist
  • Denver, CO
  • NPI 1851930879
  Medicare reassignment NPD
• Denver Oculoplastics

  • Ophthalmologic Surgery Clinic/Center
  • Denver, CO
  • NPI 1790340537
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1265572762",
    "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": [],
    "basic": {
        "last_name": "PETHE",
        "first_name": "DOUGLAS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93551258",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Jane Peterson
• Nathan Alan Peterson, FNP-C
• Taryn Peterson, PT, DPT
• Terri Peterson
• Zane Peterson, LPC-MH
• Catherine Marie Petra, M.S., A.T.C.
• Marian S Petrasko, M.D.
• Lesley Louise Petree, NP
• Nicole Beth Petrich, LPC, LPC-MH, ACS
• Sandra Milena Peynado Rojas, MD

• 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 Aug 6, 2026; 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.