Vance Evan Ankrum, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T-473 Issued in SD

Practice address

5012 S Bur Oak PL
Sioux Falls, SD 57108-2228

Phone

(605) 361-1680

Fax

(605) 361-1590

NPI assigned

Mar 22, 2006

Last updated

Jun 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dakota Vision Center LLCGroup PAC ID 2769401587, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dakota Vision Center, LLC

  • Optometrist
  • Sioux Falls, SD
  • NPI 1134188600
  Medicare reassignment Care Compare group NPD Authorized official
• Dakota Vision Center, LLC

  dba Dakota Vision Center East

  • Optometrist
  • Sioux Falls, SD
  • NPI 1588279376
  NPD

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1881653442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S BUR OAK PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082228",
            "telephone_number": "605-361-1680",
            "fax_number": "605-361-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S BUR OAK PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082228",
            "telephone_number": "605-361-1680",
            "fax_number": "605-361-1590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Highline Pl",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571101001",
            "country_code": "US",
            "telephone_number": "605-271-0164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANKRUM",
        "first_name": "VANCE",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "T-473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9202133",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Angela Sadowski LLC
• Alisa Rae Angelo, DC
• Animal Health International, Inc.
• Anlee M. Rola, DDS
• Anne Marie Counseling and Yoga Therapy
• Ashley K Anson, JD, MFT-LICENSEE
• Summer Anthony
• Jack Antonson

• Optometrist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.