Organization Active NPI

Ophthalmology Associates 010196

  • Ophthalmology Physician
  • Aberdeen, SD
National Provider Identifier
1306900634
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMOLOGY ASSOCIATES 010196
Practice address
310 8TH Ave NW Ste 507
Aberdeen, SD 57401-2369
Phone
(605) 226-2108
Fax
(605) 225-2674
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Melissa Knoll
Title
Administrator
Phone
(605) 226-2108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

310 8TH Ave NW Ste 507
Aberdeen, SD 57401-2369

Mailing address

310 8TH Ave NW Ste 507
Aberdeen, SD 57401-2369
Phone (605) 226-2108

Other identifiers 4

IdentifierTypeStateIssuer
CG5534OtherMNRAILROAD MEDICARE
68A42OPOtherMNMN BLUE SHIELD
CD7706OtherNDRAILROAD MEDICARE
CD7707OtherSDRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address johnbormes@ophthalmologyassociates.direct.eyemdemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, ND, MN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040601001348 SD Part B Supplier - Clinic/Group Practice 4284616657 Receives reassigned benefits from 4 practitioners
Practice locations: Aberdeen, SD
O20041018000736 ND Part B Supplier - Clinic/Group Practice 4284616657 Receives reassigned benefits from 1 practitioner
Practice locations: Bismarck, ND; Ellendale, ND; Oakes, ND
O20120204000035 MN Part B Supplier - Clinic/Group Practice 4284616657 Receives reassigned benefits from 2 practitioners
Practice locations: Wheaton, MN; Ortonville, MN; Graceville, MN

National Provider Directory

National Provider Directory

Locations

217 3rd St NW
Ortonville, MN 56278
Phone (320) 832-2608

111 Main St
Ellendale, ND 58436
Phone (605) 226-2108

310 8th Ave NW
Ste 507
Aberdeen, SD 57401
Phone (605) 226-2108

808 C Ave
Eureka, SD 57437
Phone (605) 284-2342

101 N Exene St
Gettysburg, SD 57442
Phone (605) 765-9159

1005 W 1st St
Redfield, SD 57469
Phone (605) 472-1230

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1306900634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 8TH AVE NW STE 507",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012369",
            "telephone_number": "605-226-2108",
            "fax_number": "605-225-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 8TH AVE NW STE 507",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012369",
            "telephone_number": "605-226-2108",
            "fax_number": "605-225-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY ASSOCIATES 010196",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "KNOLL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-226-2108"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG5534",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BLUE SHIELD",
            "identifier": "68A42OP",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD7706",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD7707",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnbormes@ophthalmologyassociates.direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "310 8th Ave NW Ste 507",
            "city": "Aberdeen",
            "state": "SD",
            "country_code": "US",
            "postal_code": "574012369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.

Verify at the official NPI Registry.