Outpost Optical Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

0547 Issued in SD

Legal business name

OUTPOST OPTICAL INC

Practice address

206 Military Rd
North Sioux City, SD 57049-3170

Phone

(605) 232-3937

Fax

(605) 235-1350

NPI assigned

Mar 2, 2009

Last updated

Apr 8, 2014By 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

Jeff B Rabbitt

Title

Office Manager

Phone

(605) 232-3937

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 2

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.

• Daniel S Rabbitt, OD

  • Optometrist
  • N Sioux City, SD
  • NPI 1134119761
  Medicare reassignment NPD
• Jeannie Maureen Dehne, OPTOMETRIST

  • Optometrist
  • Sioux Falls, SD
  • NPI 1124228267
  NPD (past)

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1538309604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1993",
            "city": "NORTH SIOUX CITY",
            "state": "SD",
            "postal_code": "570491993",
            "telephone_number": "605-232-3937",
            "fax_number": "605-235-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MILITARY RD",
            "city": "NORTH SIOUX CITY",
            "state": "SD",
            "postal_code": "570493170",
            "telephone_number": "605-232-3937",
            "fax_number": "605-235-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPOST OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "RABBITT",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-232-3937"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "0547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "20033",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0005536",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9200623",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0541748",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249906-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "29577",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany R Nielsen, DDS
• North Sioux Chiropractic Clinic, Inc.
• North Sioux Dental Clinic
• Michael O'Neal
• Michael Oberle, DO
• Beverly Plantenberg, RN
• Carrie Nadine Puetz, NP-C
• Euclid Jerome St Hill, M.D.
• St. Luke's Health Resources (St. Luke's PT/OT Clinics)

• Optometrist in North Sioux City, SD
• Providers in North Sioux City, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.