Individual provider Active NPI

Alex Lynne Kneeland, OD

  • Optometrist
  • Yankton, SD
National Provider Identifier
1750958559
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
771 Issued in SD
Practice address
508 W 23Rd St Ste 2
Yankton, SD 57078-1201
Phone
(605) 665-8688
NPI assigned
Jun 9, 2021
Last updated
Oct 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 771 SD Primary

Addresses

Primary practice location

508 W 23Rd St Ste 2
Yankton, SD 57078-1201

Mailing address

PO Box 546
Yankton, SD 57078-0546
Phone (605) 881-9109

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
I20211221000493 SD Practitioner - Optometry 3870984149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Eye Care PCGroup PAC ID 9234520503, 3 clinicians

Practice addresses (Care Compare)

3204 1St Dakota Dr
Yankton, SD 57078-4615
Phone (605) 665-8688

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Eye Care PC Optometrist CurrentSince Aug 18, 2021 Accepting new patients
Meridian Eye Care, PC Optometrist Past Accepting new patients

Locations

3204 First Dakota Dr
Yankton, SD 57078
Phone (605) 665-8688

508 W 23rd St
Ste 2
Yankton, SD 57078
Phone (605) 665-8688

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, 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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1750958559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570780546",
            "telephone_number": "605-881-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W 23RD ST STE 2",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570781201",
            "telephone_number": "605-665-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEELAND",
        "first_name": "ALEX",
        "middle_name": "LYNNE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.