Organization Active NPI

Central Dakota Eyecare, LLP

  • Optometrist
  • Pierre, SD
National Provider Identifier
1043418510
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CENTRAL DAKOTA EYECARE, LLP
Practice address
640 E Sioux Ave
Pierre, SD 57501-3300
Phone
(605) 224-6128
Fax
(605) 224-8446
NPI assigned
Jul 6, 2007
Last updated
Jun 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Jeffrey L. RauschNPI 1811013154
Title
Partner
Phone
(605) 224-6128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

640 E Sioux Ave
Pierre, SD 57501-3300

Mailing address

640 E Sioux Ave
Pierre, SD 57501-3300
Phone (605) 224-6128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040601001377 SD Part B Supplier - Clinic/Group Practice 9436131802 Receives reassigned benefits from 6 practitioners
Practice locations: Pierre, SD
O20100930014569 SD DME Supplier - Physician - Optometrist 9436131802 Practice locations: Pierre, SD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Central Dakota Eyecare LLP640 E Sioux Ave, Pierre, SD 57501-3300(605) 224-6128 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since May 1, 2002

National Provider Directory

National Provider Directory

Locations

640 E Sioux Ave
Pierre, SD 57501
Phone (605) 224-2010

640 E Sioux Ave
Ste 3
Pierre, SD 57501
Phone (605) 224-6128

Interoperability endpoints

  • Direct secure messaging: deisnach@cde.eyefinity-direct.com
  • Direct secure messaging: jhart@cde.eyefinity-direct.com
  • Direct secure messaging: jrausch@cde.eyefinity-direct.com
  • Direct secure messaging: mblaseg@cde.eyefinity-direct.com
  • Direct secure messaging: nmarso@cde.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1043418510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E SIOUX AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013300",
            "telephone_number": "605-224-6128",
            "fax_number": "605-224-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E SIOUX AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013300",
            "telephone_number": "605-224-6128",
            "fax_number": "605-224-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DAKOTA EYECARE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "RAUSCH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "605-224-6128"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.