Kelly Jo Sieps, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1581 Issued in NE

Practice address

201 E 4TH St Ste 201
South Sioux City, NE 68776-9916

Phone

(531) 625-3941

Fax

(605) 371-7199

NPI assigned

May 23, 2021

Last updated

May 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Optometry

Education

Southern College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vance Thompson Vision Clinic Prof LLCGroup PAC ID 1153567441, 43 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.08 of 100Reported as individual

Quality

91.06

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vance Thompson Vision Clinic Prof LLC

  dba Vance Thompson Vision

  • Ophthalmology Physician
  • Sioux Falls, SD
  • NPI 1205193554

  NE, Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1568037554",
    "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": "605-371-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 4TH ST STE 201",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687769916",
            "telephone_number": "531-625-3941",
            "fax_number": "605-371-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEPS",
        "first_name": "KELLY",
        "middle_name": "JO",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-23",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Shanahan
• Rebecca Ann Shea, CCC-SLP
• Dixie Sheridan
• Vivian R Sherlock
• Halwo A Shire
• Abshiro Siidow
• Siouxland Community Health Center (Siouxland Community Health Center Pharmacy of Nebraska)
• Siouxland Community Health Center (Siouxland Community Health Center of Nebraska)
• Siouxland Dental Health - South Sioux, LLC
• Siouxland NE Opco LLC (St Croix Hospice)

• Optometrist in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• Optometrist in Nebraska

• 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; Order and Referring.
• 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.