Family Optical P C

Primary specialty

OptometristTaxonomy code 152W00000X

License

508 Issued in SD

Legal business name

FAMILY OPTICAL P C

Practice address

1420 North Ave Ste 1
Spearfish, SD 57783-1543

Phone

(605) 642-0387

Fax

(605) 642-0388

NPI assigned

Feb 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tammy K Hersch, ODNPI 1609855980

Title

President

Phone

(605) 642-0387

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• Direct secure messaging: eryncaudill@familyoptics.eyefinity-direct.com
• Direct secure messaging: dr.hersch@familyoptics.eyefinity-direct.com

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tammy Kay Hersch, O.D.

  • Optometrist
  • Spearfish, SD
  • NPI 1609855980
  Medicare reassignment Care Compare group Authorized official
• Renae Elizabeth Welke, OD

  • Optometrist
  • Rapid City, SD
  • NPI 1487935730
  Medicare reassignment Care Compare group NPD
• Sarah Behles Hanson, OD

  • Optometrist
  • Sturgis, SD
  • NPI 1326726217
  Medicare reassignment NPD
• Eryn Caudill, OD

  • Optometrist
  • Spearfish, SD
  • NPI 1225488950
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1003950122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 NORTH AVE STE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831543",
            "telephone_number": "605-642-0387",
            "fax_number": "605-642-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 NORTH AVE STE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831543",
            "telephone_number": "605-642-0387",
            "fax_number": "605-642-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY OPTICAL P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "HERSCH",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-642-0387",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9281410",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda K Engel
• Danica Mae Engesser, M.S. CCC - SLP
• Jake Steven Enos, MD
• Enso Mental Health, LLC
• Kara Michelle Evans, M.A. CCC-SLP
• Family Services Center
• Laney Marie Fanning, COTA
• Jolene Ann Fasse, RN, IBCLC
• Justin G Feeser, RPT
• Kristen Noelle Feeser, MPT

• Optometrist in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.