Robert G Goodrich OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

120 Issued in SD

Legal business name

ROBERT G GOODRICH OD PC

Practice address

830 N Main St
Suite 1
Spearfish, SD 57783-2185

Phone

(605) 642-2645

Fax

(605) 642-8345

NPI assigned

Dec 5, 2008

Organization subpart

No

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

Authorized official

Name

Robert G Goodrich, OD

Title

Owner

Phone

(605) 642-2645

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Jessica R Czerny, O.D.

  • Optometrist
  • Spearfish, SD
  • NPI 1457639080
  NPD (past)

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1154566149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 N MAIN ST",
            "address_2": "SUITE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832185",
            "telephone_number": "605-642-2645",
            "fax_number": "605-642-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N MAIN ST",
            "address_2": "SUITE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832185",
            "telephone_number": "605-642-2645",
            "fax_number": "605-642-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G GOODRICH OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-642-2645",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9201180",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Rendleman, PHARMD
• Reth PC
• Jonathan Bernard Reth, D.D.S.
• Michael S Richey, OD
• Lorri A Riley, DPM
• Jett Palmer Rogers, DC
• Katie Rogers, M.S. CCC-SLP
• Karilyn Rosenau
• Tina Marie Rosenkranz, BACD, MAFLE
• Myra Rude, CRNA

• 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 Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.