Active NPI
Lifetime Eyecare
- Optometrist
- Spearfish, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- LIFETIME EYECARE
- Practice address
- 1230 North Ave
Suite #3
Spearfish, SD 57783-3028 - Phone
- (605) 642-4656
- NPI assigned
- Apr 3, 2007
- Last updated
- Aug 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Kennedy, O.D.
- Title
- Dr.
- Phone
- (605) 642-4656
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
1230 North Ave
Suite #3
Spearfish, SD 57783-3028
Mailing address
1230 North Ave Ste 3
Spearfish, SD 57783-1572
Phone (605) 642-4656
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Scott.Kennedy@direct.revolutionehr.com | Direct | |
| Direct Messaging Address | terry.wolthuis@direct.revolutionehr.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Lifetime Eyecare | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1230 North Ave
Ste 3
Spearfish, SD 57783
Phone (605) 642-4656
Interoperability endpoints
- scott.kennedy@direct.revolutionehr.com
- terry.wolthuis@direct.revolutionehr.com
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Spearfish, SD
- NPI 1871561795
-
- Optometrist
- Spearfish, SD
- NPI 1770524688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754870400000",
"number": "1346362373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 NORTH AVE STE 3",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "577831572",
"telephone_number": "605-642-4656",
"fax_number": "605-717-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 NORTH AVE",
"address_2": "SUITE #3",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "577833028",
"telephone_number": "605-642-4656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFETIME EYECARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "DR.",
"authorized_official_telephone_number": "605-642-4656",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Scott.Kennedy@direct.revolutionehr.com",
"affiliation": "N",
"endpointDescription": "Scott.Kennedy@direct.revolutionehr.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "1230 North Ave",
"address_2": "Suite #3",
"city": "Spearfish",
"state": "SD",
"country_code": "US",
"postal_code": "577833028",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "terry.wolthuis@direct.revolutionehr.com",
"affiliation": "N",
"endpointDescription": "terry.wolthuis@direct.revolutionehr.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "1230 North Ave",
"address_2": "Suite #3",
"city": "Spearfish",
"state": "SD",
"country_code": "US",
"postal_code": "577833028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spearfish, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.