Individual provider Active NPI

Jason Arthur Lorenz, O.D.

  • Optometrist
  • Aberdeen, SD
National Provider Identifier
1619918216
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T456 Issued in SD
Practice address
500 N Hwy 281
Aberdeen, SD 57401-1821
Phone
(605) 225-7677
Fax
(605) 225-4170
NPI assigned
Jun 8, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T456 SD Primary

Addresses

Primary practice location

500 N Hwy 281
Aberdeen, SD 57401-1821

Mailing address

500 N Hwy 281
Aberdeen, SD 57401-1821
Phone (605) 225-7677

Other identifiers 1

IdentifierTypeStateIssuer
9201960MedicaidSD

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
I20060713000064 SD Practitioner - Optometry 2163435280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

2812 W 41St St
Sioux Falls, SD 57105-4202
Phone (605) 338-3225

3307 7TH Ave SE
Suite 105
Aberdeen, SD 57401-6613
Phone (605) 225-7677

3330 E 10TH St
Sioux Falls, SD 57103-2107
Phone (605) 705-6351

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T456SDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shopko Stores Operating Co. LLC CurrentSince May 5, 2006 Accepting new patients
Shoptikal LLC Optometrist CurrentSince May 16, 2019 Accepting new patients
Shoptikal LLC Optometrist CurrentSince May 16, 2019 Accepting new patients
Shopko Stores Operating Co. LLC CurrentSince May 5, 2006 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Shopko Stores Operating Co. LLC Current Accepting new patients

Locations

1900 N Main St
#22
Mitchell, SD 57301
Phone (605) 996-7042

2812 W 41st St
Sioux Falls, SD 57105
Phone (605) 322-1800

700 9th Ave SE
Watertown, SD 57201
Phone (605) 882-2011

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619918216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N HWY 281",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574011821",
            "telephone_number": "605-225-7677",
            "fax_number": "605-225-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N HWY 281",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574011821",
            "telephone_number": "605-225-7677",
            "fax_number": "605-225-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "JASON",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "T456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9201960",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.