BLACK HILLS REGIONAL EYE INSTITUTE (NPI# 1912073834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912073834 |
| Entity Type | Organization |
| Organization Name | BLACK HILLS REGIONAL EYE INSTITUTE |
| 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 | 2006-11-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JODI J SUDRALA (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6053412000 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
100 | SD | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9200655 | 05 |
| 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 |
| 1104114487 | Black Hills Regional Eye Institute Refractive Surgery Center, LLC | Clinic/Center | 2800 3rd St, Rapid City, SD 57701-7374 | 2011-07-20 |
| 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 |
| 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 | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528255924 | John B. Jarding Od, LLC | Optometrist | 825 Columbus St, Rapid City, SD 57701-4803 | 2007-09-29 |
| 1710051602 | Bert C Corwin | Optometrist | 2800 3rd St, Rapid City, SD 57701-7374 | 2006-11-20 |
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on BLACK HILLS REGIONAL EYE INSTITUTE.
| 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.