Active NPI
Gregg A Bleeker, O.D.
- Optometrist
- Mitchell, SD
National Provider Identifier
1942271382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 141
- Practice address
- 305 N Sanborn Blvd
Mitchell, SD 57301-2449 - Phone
- (605) 996-2537
- Fax
- (605) 996-0500
- NPI assigned
- Feb 1, 2006
- Last updated
- Nov 10, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 141 | 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 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27992 | Other | SD | SANFORD HEALTH PLAN |
| 0076519 | Other | SD | WELLMARK BCBS |
| 9201870 | Medicaid | SD | |
| 141 | Other | SD | DAKOTACARE |
| 229999 | Other | SD | MIDLANDS CHOICE |
| 9201872 | Medicaid | SD |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mabee Eye Clinic PC | Optometrist | Current | Accepting new patients |
Locations
305 N Sanborn Blvd
Mitchell, SD 57301
Phone (605) 425-2855
740 S Hill St
Salem, SD 57058
Phone (605) 425-2855
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": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1942271382",
"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": "BLEEKER",
"first_name": "GREGG",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SD",
"license": "141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANFORD HEALTH PLAN",
"identifier": "27992",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "0076519",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9201870",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "141",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "229999",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9201872",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mitchell, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.