Vance Thompson Vision Clinic Prof LLC
NPI 1205193554ActiveOrganization· Ophthalmology· Sioux Falls, SD
Ophthalmology in Sioux Falls, South Dakota, registered in NPPES in April 2012. The authorized official on file is John Palmer Berdahl, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1205193554 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2012 |
| Last updated in NPPES | Jan 27, 2025 |
| Certified by provider | Jan 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | SD |
| Optometrist | 152W00000X | — | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (MT); Part B Supplier - Clinic/Group Practice (ND); Part B Supplier - Clinic/Group Practice (NE); Part B Supplier - Clinic/Group Practice (SD) |
|---|
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