Individual provider Active NPI

Paula Sorensen, O.D.

  • Optometrist
  • Rapid City, SD
National Provider Identifier
1831206200
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
517 Issued in SD
Practice address
2626 W Main St
Suite 4
Rapid City, SD 57702-2497
Phone
(605) 399-3811
Fax
(605) 399-3845
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 517 SD Primary

Addresses

Primary practice location

2626 W Main St
Suite 4
Rapid City, SD 57702-2497

Mailing address

2626 W Main St
Suite 4
Rapid City, SD 57702-2497
Phone (605) 399-3811

Other identifiers 2

IdentifierTypeStateIssuer
S41393OtherSDMEDICARE PROVIDER NUMBER
9200072MedicaidSD

Other names 1

  • Paula Becker Former name

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
I20040203000413 SD Practitioner - Optometry 6204740905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Becker and Sorensen PCGroup PAC ID 6507770294, 4 clinicians

Practice addresses (Care Compare)

2626 W Main St
Suite 4
Rapid City, SD 57702-2496
Phone (605) 399-3811

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
517SDMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: paulas@eyedoctorsrapidcity.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1831206200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 W MAIN ST",
            "address_2": "SUITE 4",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022497",
            "telephone_number": "605-399-3811",
            "fax_number": "605-399-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 W MAIN ST",
            "address_2": "SUITE 4",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022497",
            "telephone_number": "605-399-3811",
            "fax_number": "605-399-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "PAULA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "S41393",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9200072",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "BECKER",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.