DR. GARY S KOTS (NPI# 1205112893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205112893 |
| Entity Type | Individual |
| Full Name | DR. GARY S KOTS |
| Credential | OD |
| Practice Address |
400 Soldier Creek Dr Rosebud SD 57570-8502 |
| Mailing Address |
Po Box 1201 Pine Ridge SD 57770-1201 |
| Practice Telephone | 6057470481 |
| Mailing Telephone | 6058673224 |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2019-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 4901003171 | MI | Eye and Vision Services Providers |
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
4901003171 | MI | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
4901003171 | MI | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
4901003171 | MI | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
4901003171 | MI | Eye and Vision Services Providers |
| Street Address |
400 SOLDIER CREEK DR |
| City | ROSEBUD |
| State | SD |
| Zip Code | 57570-8502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457306532 | Marsha M. Brackeen | Physician Assistant | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2006-05-24 |
| 1942848775 | Sophie Chau | Pharmacist | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2019-12-11 |
| 1124677653 | Rodger An | Pharmacist | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2019-09-07 |
| 1922655141 | Melissa Kaye Rodriguez | Pharmacist | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2019-08-22 |
| 1881249142 | Anne Margaret Cowles | Nurse Practitioner | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2019-08-05 |
| 1063066751 | Reji Mavumkal | Pharmacist | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2019-07-31 |
| 1932684727 | Kelly Grimshaw | Registered Nurse | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2018-09-27 |
| 1982956744 | Angela Mary Carlos | Counselor | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2012-10-03 |
| 1366517385 | Criselle Smith | Nurse Practitioner | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842618 | Lawrence Micheal Gary Sr. | Technician | 28926 Bia 1, Rosebud, SD 57570 | 2020-05-07 |
| 1184141400 | Guardian Flight LLC | Ambulance | 1506 Airport Road, Rosebud, SD 57570 | 2017-08-28 |
| 1629474549 | Rosebud Ihs Hospita;l | General Acute Care Hospital | Solder Creek Road, Rosebud, SD 57570 | 2014-11-05 |
| 1073867420 | Rosebud Sioux Tribe -chr | Private Vehicle | 729 Hospital Drive, Rosebud, SD 57570 | 2012-11-07 |
| 1053662577 | Barbara Jean Davis | Registered Nurse | Bia Route 1, Rosebud, SD 57570 | 2012-09-24 |
| 1760760458 | Lucy Maria Reifel | Pediatrics | 100 Dialysis Lane, Rosebud, SD 57570 | 2011-07-28 |
| 1255577847 | Jacquelyn Hogan | Registered Nurse | Hwy 18, Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2009-01-02 |
| 1346426269 | Robin J Stenson | Registered Nurse | Hwy 18 Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2008-01-10 |
| 1063602365 | Rosebud Sioux Tribe Alcohol Drug Treatment Program | Private Vehicle | #7 Hospital Lane, Rosebud, SD 57570 | 2007-08-01 |
| 1184826695 | Krista Horvath | Registered Nurse | Bia Rt 1 Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2007-06-05 |
| Find all providers in zip 57570 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811043102 | Joe Krall | Optometrist | 1415 N Sanborn Blvd, Mitchell, SD 57301-1015 | 2007-01-27 |
| 1285672246 | John Wesley Joseph Sivesind | Optometrist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-06-03 |
| 1023092988 | Brad Jerome Moriarty | Optometrist | 1601 Mount Rushmore Rd, Suite 5, Rapid City, SD 57701-4588 | 2005-12-05 |
| 1780100941 | Insight Eye Care Professionals, P.C. | Optometrist | 2414 S Louise Ave, Sioux Falls, SD 57106-4318 | 2017-08-19 |
| 1225338148 | Brad Moriarty Od PC | Optometrist | 1601 Mount Rushmore Rd, Suite 5, Rapid City, SD 57701-4588 | 2010-10-26 |
| 1861694812 | Vermillion Vision Clinic, PC | Optometrist | 120 W Main St, Vermillion, SD 57069-3036 | 2007-06-01 |
| 1407949753 | Dr. John W Sivesind, O.d., P.C. | Optometrist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-10-01 |
Please comment or provide details below to improve the information on DR. GARY S KOTS.
| 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.