Wayne G Slothouber, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

144 Issued in SD

Practice address

5129 S Western Ave
Sioux Falls, SD 57108

Phone

(605) 332-2231

NPI assigned

Aug 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1710970371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082670",
            "telephone_number": "605-332-2231",
            "fax_number": "605-330-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-332-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOTHOUBER",
        "first_name": "WAYNE",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9201860",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikki Machelle Slatton, APRN
• Sleepeasy Therapeutics, Inc.
• Sleepwell Counseling LLC
• Lacie Sleezer, OTD
• Brittany Rose Slettedahl
• Jaclynn Small, RN
• Smallcomb DMD PC (Falls Dental Centre)
• John V. Smallcomb, D.M.D.
• Smart Medical Clinic
• Tammie V Smart, CNP

• Optometrist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.