PRAIRIE EYE CLINIC
NPI 1255819140
Optometrist in Vermillion, SD

Q: What is Vanderlei Optometric PC's NPI number?

The NPI number for Vanderlei Optometric PC is 1255819140. It was assigned to this organization in the NPPES registry on August 1, 2018. The provider is doing business as Prairie Eye Clinic.

Q: What is Vanderlei Optometric PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since August 01, 2018CLIA 43D2315546 · Waiver

11 SHRINER ST, VERMILLION, SD 57069(605) 624-2020(605) 624-7961 Get Directions Write a Review

NPPES record last updated: August 1, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Prairie Eye Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE EYE CLINIC (NPI 1255819140) is a healthcare organization registered as an optometrist in Vermillion, South Dakota and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Clarence Joseph Vanderlei, Owner, as its authorized official.

NPPES Registry Identity

NPI1255819140

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameVANDERLEI OPTOMETRIC PC

Location Address11 SHRINER STVermillion, SD 57069-1155

Mailing Address130 Catalina AveVermillion, SD 57069-3318 · (605) 661-1145

Phone(605) 624-2020

Fax(605) 624-7961

Organization SubpartNo

Authorized OfficialClarence Joseph VanderleiOwner · (605) 661-1145

Enumeration DateAugust 1, 2018

✔ NPI 1255819140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in SD · 727

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

11 SHRINER ST, Vermillion, SD 57069

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Other Names 1

Doing Business AsPrairie Eye Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D2315546

Prairie Eye Clinic · Vermillion, SD

Active · expires Dec 15, 2026

CLIA Number43D2315546

Laboratory TypePhysician Office

Certificate Effective DateDecember 16, 2024

Certificate Expiration DateDecember 15, 2026

Laboratory DirectorClarence J. Vanderlei

Laboratory Phone(605) 624-2020

Laboratory LocationPrairie Eye Clinic11 Shriner Street, Vermillion, SD 57069

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAWKEYE EXACT SD 1 PLLC

Optometrist