Vance Thompson Vision Surgery Center Alexandria, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VANCE THOMPSON VISION SURGERY CENTER ALEXANDRIA, LLC

Practice address

2600 Jefferson St Ste 100
Alexandria, MN 56308-3410

Phone

(320) 335-2167

Fax

(605) 371-7199

NPI assigned

May 31, 2019

Last updated

May 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Allen Scharnberg

Title

Cfo

Phone

(605) 359-9155

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Vance Thompson Vision Clinic Prof LLC

  dba Vance Thompson Vision

  • Ophthalmology Physician
  • Sioux Falls, SD
  • NPI 1205193554

  O20210615000964

  Same enrollment

Listed as

Vance Thompson VisionCCN 24C0001104

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Gess Ristvedt, D.O.

  • Ophthalmology Physician
  • Alexandria, MN
  • NPI 1871881656
  NPD
• Mathew Thomas Walker, O.D.

  • Optometrist
  • Alexandria, MN
  • NPI 1255595864
  NPD
• Jason John Schmit, O.D.

  • Optometrist
  • Sioux Falls, SD
  • NPI 1124220322
  NPD
• Kayla Lynn Brunkow, PA-C

  • Physician Assistant
  • Alexandria, MN
  • NPI 1477886364
  NPD (past)
• John A Gess, OD

  • Optometrist
  • Alexandria, MN
  • NPI 1679572440
  NPD (past)
• Timothy L Gess, M.D.

  • Ophthalmology Physician
  • Alexandria, MN
  • NPI 1083708671
  NPD (past)
• Brent Kramer, M.D.

  • Ophthalmology Physician
  • Sioux Falls, SD
  • NPI 1689106460
  NPD (past)
• Russell Swan, M.D.

  • Ophthalmology Physician
  • Bozeman, MT
  • NPI 1225304918
  NPD (past)
• Carissa Marie Woelich, OD

  • Optometrist
  • Missoula, MT
  • NPI 1649839101
  NPD (past)

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1346808714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 JEFFERSON ST STE 100",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563083410",
            "telephone_number": "320-335-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 JEFFERSON ST STE 100",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563083410",
            "telephone_number": "320-335-2167",
            "fax_number": "605-371-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCE THOMPSON VISION SURGERY CENTER ALEXANDRIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "SCHARNBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-359-9155"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Wayne Trumm, R.PH.
• Lauren Marie Trumm, PHARMD
• Mark Trumm, RPH
• Barbara Anastasia Ulmer, DPT
• Ute Solutions LLC
• Terence Lynn Vanderheiden, DPM
• Katherine Marie Vanderweyst, OWNER
• Karen Vanhorn
• April Mia Vaniseghem
• Victoria Varhol

• Ambulatory Surgical Clinic/Center in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.