Active NPI
Huron Eye Clinic PC
- Optometrist
- Huron, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T112
- Legal business name
- HURON EYE CLINIC PC
- Practice address
- 1288 Dakota Ave S
Ste 3
Huron, SD 57350-0948 - Phone
- (605) 352-4181
- Fax
- (605) 352-4189
- NPI assigned
- Feb 2, 2006
- Last updated
- Feb 5, 2008
- 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
- Mr. James L Nelson, OD
- Title
- President
- Phone
- (605) 352-4181
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 | T112 | SD | Primary |
Addresses
Primary practice location
1288 Dakota Ave S
Ste 3
Huron, SD 57350-0948
Mailing address
PO Box 948
Huron, SD 57350-0948
Phone (605) 352-4181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9201065 | Medicaid | SD | |
| 0041041 | Other | SD | WELLMARK BCBS |
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 |
|---|---|---|
| Huron Eye Clinic PC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1288 Dakota Ave S
Ste 3
Huron, SD 57350
Phone (605) 352-4181
Practitioners & affiliated clinicians
Practitioners 3
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
- Huron, SD
- NPI 1194264390
-
- Optometrist
- Huron, SD
- NPI 1760680508
-
- Optometrist
- Huron, SD
- NPI 1841302700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202169600000",
"number": "1386616480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 948",
"city": "HURON",
"state": "SD",
"postal_code": "573500948",
"telephone_number": "605-352-4181",
"fax_number": "605-352-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1288 DAKOTA AVE S",
"address_2": "STE 3",
"city": "HURON",
"state": "SD",
"postal_code": "573500948",
"telephone_number": "605-352-4181",
"fax_number": "605-352-4189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HURON EYE CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-02",
"last_updated": "2008-02-05",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "605-352-4181",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SD",
"license": "T112",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9201065",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "0041041",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huron, SD
- Huron Ambulance Service Inc
- Huron Area Center for Independence
- Huron Area Center for Independence
- Huron Area Senior Center (Beadle County Area Nutrition)
- Huron Clinic Foundation LTD
- Huron Laboratory SVC PC
- Huron Regional Medical Center Inc
- Huron Regional Medical Center Inc
- Huron Regional Medical Center Inc (Huron Regional Medical Center)
- Huron Regional Medical Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.