Individual provider Active NPI

Marshall Dorsett

  • Optometrist
  • Aberdeen, SD
National Provider Identifier
1427078997
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
564 Issued in SD
Practice address
310 8TH Ave NW Ste 503
Aberdeen, SD 57401-2369
Phone
(605) 225-2020
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 564 SD Primary

Addresses

Primary practice location

310 8TH Ave NW Ste 503
Aberdeen, SD 57401-2369

Mailing address

310 8TH Ave NW Ste 503
Aberdeen, SD 57401-2369
Phone (605) 225-2020

Other identifiers 1

IdentifierTypeStateIssuer
9203290MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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

Enrollment IDStateProvider typePAC IDDetails
I20100621000688 SD Practitioner - Optometry 6002947900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Care Associates LLPGroup PAC ID 2466433990, 17 clinicians

Practice addresses (Care Compare)

101 Peabody Dr
Suite 2
Webster, SD 57274-1062
Phone (605) 345-4631

310 8TH Ave NW
Aberdeen, SD 57401-2365
Phone (605) 225-2020

310 8TH Ave NW
Suite 503
Aberdeen, SD 57401-2369

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
85.15
Promoting interoperability
73
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Care Associates, LLP Optometrist CurrentSince Mar 4, 2002 Accepting new patients

Locations

310 8th Ave NW
Ste 503
Aberdeen, SD 57401
Phone (605) 225-2020

310 8th Ave NW
Aberdeen, SD 57401
Phone (605) 225-2020

101 Peabody Dr
Ste 2
Webster, SD 57274
Phone (605) 345-4631

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1427078997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 8TH AVE NW STE 503",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012369",
            "telephone_number": "605-225-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 8TH AVE NW STE 503",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012369",
            "telephone_number": "605-225-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSETT",
        "first_name": "MARSHALL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203290",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.