Active NPI
Douglas D. Tassi, O.D.
- Optometrist
- Sioux Falls, SD
National Provider Identifier
1306840111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 649
- Practice address
- 2501 W 22ND St
Sioux Falls, SD 57105-1305 - Phone
- (605) 336-3230
- NPI assigned
- Jun 9, 2005
- Last updated
- Sep 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1655 | IA | |
| Optometrist | 152W00000X | 649 | SD | Primary |
| Optometrist | 152W00000X | T03000 | MO | |
| Optometrist | 152W00000X | 1131 | NE |
Addresses
Primary practice location
2501 W 22ND St
Sioux Falls, SD 57105-1305
Mailing address
2501 W 22ND St
Sioux Falls, SD 57105-1305
Phone (605) 336-3230
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 298638800 | Medicaid | MN | |
| 46044447400 | Medicaid | NE | |
| 9200752 | Medicaid | SD | |
| 10025032100 | Medicaid | NE | |
| 5119065 | Medicaid | IA | |
| 9200750 | Medicaid | SD | |
| 9200753 | Medicaid | SD | |
| 3119065 | Medicaid | IA | |
| 9200754 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 574 | SD | MD | Chiropractor |
| 649 | SD | MD | Neurology Chiropractor |
| 3539 | WA | MD | General Practice Dentistry |
| 1655 | IA | MD | Optometrist |
| T03000 | MO | MD | Optometrist |
| 5741 | SD | MD | Pharmacist |
| 1131 | NE | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Figgs Eye Clinic, P.C. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1306840111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 W 22ND ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051305",
"telephone_number": "605-336-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W 22ND ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051305",
"telephone_number": "605-336-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TASSI",
"first_name": "DOUGLAS",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "1655",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SD",
"license": "649",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T03000",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1131",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "298638800",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46044447400",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9200752",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025032100",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5119065",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9200750",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9200753",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3119065",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9200754",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.