BLACK HILLS REGIONAL EYE INSTITUTE REFRACTIVE SURGERY CENTER, LLC (NPI# 1104114487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104114487 |
| Entity Type | Organization |
| Organization Name | BLACK HILLS REGIONAL EYE INSTITUTE REFRACTIVE SURGERY CENTER, LLC |
| Practice Address |
2800 3rd St Rapid City SD 57701-7374 |
| Practice Telephone | 6053412000 |
| Practice Fax Number | 6053410278 |
| Mailing Telephone | 6053412000 |
| Mailing Fax Number | 6053410278 |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-10-07 |
| Authorized Official Name | JODI J ANDERSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6053412000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
2800 3RD ST |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-7374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063492940 | Prema Abraham | Ophthalmology | 2800 3rd St, Rapid City, SD 57701-7374 | 2006-01-18 |
| 1093129256 | Jess Moser | Optometrist | 2800 3rd St, Rapid City, SD 57701-7374 | 2014-06-16 |
| 1366700460 | Adam Jorgensen | Ophthalmology | 2800 3rd St, Rapid City, SD 57701 | 2012-04-26 |
| 1518139070 | Stephen S Khachikian | Ophthalmology | 2800 3rd St, Rapid City, SD 57701-7374 | 2008-03-25 |
| 1558575498 | Scott Schirber | Optometrist | 2800 3rd St, Rapid City, SD 57701-7374 | 2007-05-10 |
| 1174654081 | Black Hills Regional Eye Surgery Center, LLC | Nurse Anesthetist, Certified Registered | 2800 3rd St, Rapid City, SD 57701-7374 | 2007-03-09 |
| 1912073834 | Black Hills Regional Eye Institute | Optometrist | 2800 3rd St, Rapid City, SD 57701-7374 | 2006-11-24 |
| 1710051602 | Bert C Corwin | Optometrist | 2800 3rd St, Rapid City, SD 57701-7374 | 2006-11-20 |
| 1679653240 | Ryan Leo Scarborough | Optometrist | 2800 3rd St, Rapid City, SD 57701 | 2006-10-17 |
| 1689687683 | Optical Works Inc | Technician/Technologist | 2800 3rd St, Rapid City, SD 57701-7374 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437547155 | Solutions Chiropractic Clinic, LLC | Clinic/Center | 405 E Omaha St Ste D, Rapid City, SD 57701 | 2015-01-05 |
| 1063664654 | Swanson Chiropractic, P.C. | Clinic/Center | 420 E Saint Patrick St, 101, Rapid City, SD 57701-4202 | 2008-10-15 |
| 1497920193 | Dr. Kendall Anderson, P.C. | Clinic/Center | 3618 Canyon Lake Drive, Suite 114, Rapid City, SD 57702-3129 | 2008-04-24 |
| 1366589475 | Clinch Family Chiropractic PC | Clinic/Center | 660 N Maple Ave, Rapid City, SD 57701-1506 | 2007-01-30 |
| 1275553463 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 725 Meade St, Rapid City, SD 57701-5334 | 2006-07-20 |
| 1346849478 | Advanced Ent and Allergy Center of The Black Hills, Prof LLC | Clinic/Center | 4940 5th St Ste 2b, Rapid City, SD 57701-6026 | 2020-10-20 |
| 1760834162 | Independent Eyes LLC | Clinic/Center | 808 Mount Rushmore Rd, Rapid City, SD 57701-3603 | 2016-07-08 |
| 1477938835 | Looping Professionals LLC | Clinic/Center | 2120 W Main St, Ste 7, Rapid City, SD 57702-2465 | 2015-07-28 |
| 1477941060 | Schielke Chiropractic, Pllc | Clinic/Center | 2720 W Main St, Suite #2, Rapid City, SD 57702-8128 | 2015-01-05 |
| 1538598370 | Integrated Eye Care Prof. LLC | Clinic/Center | 685 Mountain View Rd, Rapid City, SD 57702-2518 | 2013-11-02 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on BLACK HILLS REGIONAL EYE INSTITUTE REFRACTIVE SURGERY CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.