Organization Active NPI

Nash Vision PLLC

  • Optometrist
  • Belle Fourche, SD
National Provider Identifier
1124722509
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NASH VISION PLLC
Practice address
1830 5TH Ave
Belle Fourche, SD 57717-2089
Phone
(605) 892-2020
Fax
(605) 892-6227
NPI assigned
Mar 29, 2023
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Dr. Heidi Nash, ODNPI 1134382104
Title
President
Phone
(605) 892-2020

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

1830 5TH Ave
Belle Fourche, SD 57717-2089

Mailing address

1830 5TH Ave
Belle Fourche, SD 57717-2089
Phone (605) 892-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230602002121 SD Part B Supplier - Clinic/Group Practice 0941667166 Receives reassigned benefits from 1 practitioner
Practice locations: Belle Fourche, SD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1124722509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 5TH AVE",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577172089",
            "telephone_number": "605-892-2020",
            "fax_number": "605-892-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 5TH AVE",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577172089",
            "telephone_number": "605-892-2020",
            "fax_number": "605-892-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASH VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-892-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Fourche, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.