NPIMap

Organization Active NPI

Ophthalmology LTD Eye Surgery Center L L C

  • Ambulatory Surgical Clinic/Center
  • Sioux Falls, SD
National Provider Identifier
1871581876
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
41051 Issued in SD
Legal business name
OPHTHALMOLOGY LTD EYE SURGERY CENTER L L C
Practice address
6601 S. Minnesota Avenue
Suite 100
Sioux Falls, SD 57108-2564
Phone
(605) 336-6294
Fax
(605) 336-2672
NPI assigned
Oct 12, 2005
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Kathy Nord
Title
Office Manager
Phone
(605) 731-2630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 41051 SD Primary

Addresses

Primary practice location

6601 S. Minnesota Avenue
Suite 100
Sioux Falls, SD 57108-2564

Mailing address

6601 S. Minnesota Avenue
Suite 100
Sioux Falls, SD 57108-2564
Phone (605) 336-6294

Other identifiers 1

IdentifierTypeStateIssuer
5490240MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040421000301 SD Part B Supplier - Ambulatory Surgical Center 1557357175 Receives reassigned benefits from 2 practitioners
Practice locations: Sioux Falls, SD
O20040421000731 SD Part B Supplier - Clinic/Group Practice 1557357175 Receives reassigned benefits from 24 practitioners
Practice locations: Sioux Falls, SD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Ophthalmology LTD Eye Surgery Center LLCCCN 43C0001016
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D0956119Ophthalmology LTD Eye Surgery Center LLC6601 S Minnesota Avenue Suite 100, Sioux Falls, SD 57108Certificate of waiverJan 19, 2027

National Provider Directory

National Provider Directory

Locations

6601 S Minnesota Ave
Ste 100
Sioux Falls, SD 57108
Phone 6053366294630

6601 S Minnesota Ave
Ste 105
Sioux Falls, SD 57108

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1871581876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 S. MINNESOTA AVENUE",
            "address_2": "SUITE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082564",
            "telephone_number": "605-336-6294",
            "fax_number": "605-336-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 S. MINNESOTA AVENUE",
            "address_2": "SUITE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082564",
            "telephone_number": "605-336-6294",
            "fax_number": "605-336-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY LTD EYE SURGERY CENTER L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2025-05-02",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "NORD",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-731-2630"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SD",
            "license": "41051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5490240",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.