Individual provider Active NPI

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  • Optometrist
  • Rapid City, SD
National Provider Identifier
1073898128
Registry record updated Dec 15, 2014
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
707 Issued in SD
Practice address
925 Eglin St
Rapid City, SD 57701-9567
Phone
(605) 342-1213
NPI assigned
Oct 19, 2011
Last updated
Dec 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 707 SD Primary

Addresses

Primary practice location

925 Eglin St
Rapid City, SD 57701-9567

Mailing address

PO Box 1333
Spearfish, SD 57783-7333
Phone (605) 381-4658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140908000936 SD Practitioner - Optometry 5294953188 Reassigns benefits to 1 organization
Practice locations: Rapid City, SD

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Hills Eye Care Prof LLCGroup PAC ID 8123014305, 3 clinicians

Practice addresses (Care Compare)

112 N 2ND Ave W
Faith, SD 57626-6086
Phone (605) 967-2644

910 Harmon St
Sturgis, SD 57785-2556
Phone (605) 347-2666

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Hills Eye Care, Prof. L.L.C. Optometrist CurrentSince Jan 1, 2015 Accepting new patients
Black Hills Regional Eye Institute, LLP Optometrist Past Accepting new patients
Rushmore Crossing Vision Center, LLC Optometrist Past Accepting new patients

Locations

910 Harmon St
Sturgis, SD 57785
Phone (605) 347-2666

Interoperability endpoints

  • Direct secure messaging: drrfenglish@nheyecare.eyefinity-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1073898128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1333",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577837333",
            "telephone_number": "605-381-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 EGLIN ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577019567",
            "telephone_number": "605-342-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLISH",
        "first_name": "ROSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.