Individual provider Active NPI

Jeffrey Oakland, OD

  • Optometrist
  • Sioux Falls, SD
National Provider Identifier
1689754905
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T669 Issued in SD
Practice address
5012 S Bur Oak PL
Sioux Falls, SD 57108-2228
Phone
(605) 361-1680
Fax
(605) 361-1590
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T669 SD Primary

Addresses

Primary practice location

5012 S Bur Oak PL
Sioux Falls, SD 57108-2228

Mailing address

5012 S Bur Oak PL
Sioux Falls, SD 57108-2228
Phone (605) 361-1680

Other practice location 1

1100 S Highline Pl
Sioux Falls, SD 57110-1001
Phone (605) 271-0464

Other identifiers 1

IdentifierTypeStateIssuer
1134188600MedicaidSD

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
I20110512000093 SD Practitioner - Optometry 1355340803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dakota Vision Center LLCGroup PAC ID 2769401587, 7 clinicians

Practice addresses (Care Compare)

5012 S Bur Oak PL
Sioux Falls, SD 57108-2228
Phone (605) 361-1680

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T669SDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Vision Center, LLC Optometrist CurrentSince May 1, 2011 Accepting new patients
Dakota Vision Center, LLC Optometrist CurrentSince May 1, 2011 Accepting new patients

Locations

1100 S Highline Pl
Sioux Falls, SD 57110
Phone (605) 271-0164

5012 S Bur Oak Pl
Sioux Falls, SD 57108
Phone (605) 338-8010

Organizations & group practices 2

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1689754905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S BUR OAK PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082228",
            "telephone_number": "605-361-1680",
            "fax_number": "605-361-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S BUR OAK PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082228",
            "telephone_number": "605-361-1680",
            "fax_number": "605-361-1590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Highline Pl",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571101001",
            "country_code": "US",
            "telephone_number": "605-271-0464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OAKLAND",
        "first_name": "JEFFREY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "T669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134188600",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.