Individual provider Active NPI

Samantha A Rivet, OD

  • Optometrist
  • Sioux Falls, SD
National Provider Identifier
1366285017
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
812 Issued in SD
Practice address
3101 W 57TH St
Sioux Falls, SD 57108-3162
Phone
(605) 361-3937
Fax
(605) 371-7199
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vance Thompson Vision Clinic Prof LLC 43 clinicians

Practice addresses (Care Compare)

201 E 4TH St
Suite 201
South Sioux City, NE 68776-9916
Phone (531) 625-3941

3101 W 57TH St
Sioux Falls, SD 57108-3162
Phone (605) 371-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240722001508 SD Practitioner - Optometry 2668918020 Reassigns benefits to 1 organization
I20250912001528 NE Practitioner - Optometry 2668918020 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1682NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vance Thompson Vision Clinic Prof LLC Optometrist CurrentSince Jul 8, 2024 Accepting new patients

Locations

201 E 4th St
South Sioux City, NE 68776
Phone (402) 412-2160

201 E 4th St
Ste 201
South Sioux City, NE 68776
Phone (531) 625-3941

3101 W 57th St
Sioux Falls, SD 57108
Phone (605) 361-3937

Interoperability endpoints

  • Direct secure messaging: srivet@vtv.intellechartdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 812 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

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

Mailing address

3101 W 57TH St
Sioux Falls, SD 57108-3162
Phone (605) 361-3937

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2024.

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1366285017",
    "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": "RIVET",
        "first_name": "SAMANTHA",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.