Individual provider Active NPI

Jeffrey L. Rausch, O.D.

  • Optometrist
  • Pierre, SD
National Provider Identifier
1811013154
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
104 Issued in SD
Practice address
640 E Sioux Ave
Pierre, SD 57501-3300
Phone
(605) 224-6128
Fax
(605) 224-8446
NPI assigned
Mar 21, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 104 SD Primary

Addresses

Primary practice location

640 E Sioux Ave
Pierre, SD 57501-3300

Mailing address

640 E Sioux Ave
Pierre, SD 57501-3300
Phone (605) 224-6128

Other identifiers 1

IdentifierTypeStateIssuer
9201242MedicaidSD

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
I20041027000982 SD Practitioner - Optometry 5799767174 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dakota Eyecare, LLP Optometrist CurrentSince May 1, 2002 Accepting new patients

Locations

640 E Sioux Ave
Pierre, SD 57501
Phone (605) 224-2010

640 E Sioux Ave
Ste 3
Pierre, SD 57501
Phone (605) 224-6128

Interoperability endpoints

  • Direct secure messaging: jrausch@cde.eyefinity-direct.com

Organizations & group practices 1

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1811013154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E SIOUX AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013300",
            "telephone_number": "605-224-6128",
            "fax_number": "605-224-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E SIOUX AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013300",
            "telephone_number": "605-224-6128",
            "fax_number": "605-224-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCH",
        "first_name": "JEFFREY",
        "middle_name": "L.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9201242",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

Verify at the official NPI Registry.