Individual provider Active NPI

Joe Krall, O.D.

  • Pediatric Optometrist
  • Mitchell, SD
National Provider Identifier
1811043102
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
494 Issued in SD
Practice address
1415 N Sanborn Blvd
Mitchell, SD 57301-1015
Phone
(605) 996-2020
Fax
(605) 990-3937
NPI assigned
Jan 27, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 494 SD
Pediatric Optometrist 152WP0200X 494 SD Primary

Addresses

Primary practice location

1415 N Sanborn Blvd
Mitchell, SD 57301-1015

Mailing address

1415 N Sanborn Blvd
Mitchell, SD 57301-1015
Phone (605) 996-2020

Other identifiers 1

IdentifierTypeStateIssuer
9202632MedicaidSD

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
I20101012001334 SD Practitioner - Optometry 8123105244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Krall Optometric Prof LLCGroup PAC ID 4284711391, 4 clinicians

Practice addresses (Care Compare)

1415 N Sanborn Blvd
Mitchell, SD 57301-1015
Phone (605) 996-2020

Merit-based Incentive Payment System (MIPS)

Final score
56.92 of 100Reported as individual
Quality
21.67
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Krall Optometric Prof LLC Corneal and Contact Management CurrentSince Aug 1, 1992 Accepting new patients

Locations

1415 N Sanborn Blvd
Mitchell, SD 57301
Phone (605) 996-2020

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": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1811043102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 N SANBORN BLVD",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011015",
            "telephone_number": "605-996-2020",
            "fax_number": "605-990-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N SANBORN BLVD",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011015",
            "telephone_number": "605-996-2020",
            "fax_number": "605-990-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRALL",
        "first_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "SD",
            "license": "494",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "SD",
            "license": "494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9202632",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.