Individual provider Active NPI

Nicholas James Wenande, O.D.

  • Optometrist
  • Mitchell, SD
National Provider Identifier
1932576410
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
717 Issued in SD
Practice address
305 N Sanborn Blvd
Mitchell, SD 57301-2449
Phone
(605) 996-2537
Fax
(605) 996-0500
NPI assigned
Aug 31, 2015
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 717 SD Primary

Addresses

Primary practice location

305 N Sanborn Blvd
Mitchell, SD 57301-2449

Mailing address

305 N Sanborn Blvd
Mitchell, SD 57301-2449
Phone (605) 996-2537

Other identifiers 1

IdentifierTypeStateIssuer
717OtherSDSTATE LICENSE

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
I20180404002115 SD Practitioner - Optometry 5890058838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mabee Eye Clinic PCGroup PAC ID 2365438116, 3 clinicians
Meridian Eye Care PCGroup PAC ID 9234520503, 3 clinicians

Practice addresses (Care Compare)

305 N Sanborn Blvd
Mitchell, SD 57301-2449
Phone (605) 996-2537

3204 1St Dakota Dr
Yankton, SD 57078-4615
Phone (605) 665-8688

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Liudahl & Bleeker PC Optometrist Current Accepting new patients
Mabee Eye Clinic PC Optometrist CurrentSince May 1, 2018 Accepting new patients
Meridian Eye Care PC Optometrist CurrentSince May 27, 2024 Accepting new patients
Mabee Clinic LTD Optometrist Past Accepting new patients

Locations

305 N Sanborn Blvd
Mitchell, SD 57301
Phone (605) 425-2855

3204 First Dakota Dr
Yankton, SD 57078
Phone (605) 665-8688

Organizations & group practices 4

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1932576410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N SANBORN BLVD",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012449",
            "telephone_number": "605-996-2537",
            "fax_number": "605-996-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N SANBORN BLVD",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012449",
            "telephone_number": "605-996-2537",
            "fax_number": "605-996-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENANDE",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-31",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "717",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.