Individual provider Active NPI

Daniel James Kincaid, O.D.

  • Optometrist
  • South Sioux City, NE
National Provider Identifier
1932532306
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1403 Issued in NE
Practice address
1000 W 29TH St Ste 302
South Sioux City, NE 68776-3853
Phone
(402) 494-5533
NPI assigned
Aug 20, 2013
Last updated
Aug 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 1403 NE Primary

Addresses

Primary practice location

1000 W 29TH St Ste 302
South Sioux City, NE 68776-3853

Mailing address

1000 W 29TH St Ste 302
South Sioux City, NE 68776-3853
Phone (402) 494-5533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20140102001293 NE Practitioner - Optometry 3375771033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Kincaid and FettGroup PAC ID 6305736000, 4 clinicians

Practice addresses (Care Compare)

1000 W 29TH St
Suite 302
S Sioux City, NE 68776-3853
Phone (402) 494-5533

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1403NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Kincaid and Fett Optometrist CurrentSince Oct 1, 2013 Accepting new patients

Locations

1000 W 29th St
Ste 302
South Sioux City, NE 68776
Phone (402) 494-5533

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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1932532306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 29TH ST STE 302",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763853",
            "telephone_number": "402-494-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 29TH ST STE 302",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763853",
            "telephone_number": "402-494-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Sioux City, NE

Sources for this page

Verify at the official NPI Registry.