Organization Active NPI

Renae E Welke OD LLC

  • Optometrist
  • Sturgis, SD
National Provider Identifier
1346981941
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RENAE E WELKE OD LLC
Practice address
2120 Lazelle St
Sturgis, SD 57785-1316
Phone
(605) 347-9117
NPI assigned
Apr 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Dr. Renae E Welke, ODNPI 1487935730
Title
Optometrist
Phone
(605) 206-0208

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2120 Lazelle St
Sturgis, SD 57785-1316

Mailing address

2308 Holly CT
Sturgis, SD 57785-3336
Phone (605) 206-0208

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rwelke@directaddress.net Direct Slingsby and Huot Eye Associates Prof LLC

National Provider Directory

National Provider Directory

Locations

240 Minnesota St
Rapid City, SD 57701
Phone (605) 718-5123

Interoperability endpoints

  • Direct secure messaging: rwelke@directaddress.net

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1346981941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 HOLLY CT",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577853336",
            "telephone_number": "605-206-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 LAZELLE ST",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577851316",
            "telephone_number": "605-347-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAE E WELKE OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "WELKE",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "605-206-0208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwelke@directaddress.net",
            "affiliation": "Y",
            "endpointDescription": "direct messaging",
            "affiliationName": "Slingsby and Huot Eye Associates Prof LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "240 Minnesota St",
            "city": "Rapid City",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577016200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sturgis, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.