Pillen Optical Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PILLEN OPTICAL INC

Practice address

409 Kansas City St
Rapid City, SD 57701-8239

Phone

(605) 348-2323

Fax

(605) 348-6694

NPI assigned

Nov 7, 2014

Last updated

Sep 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shawn Jacob Smith, ABO/NCLENPI 1508763327

Title

Ceo

Phone

(605) 348-2323

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

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.

• Shawn Jacob Smith

  • Optician
  • Rapid City, SD
  • NPI 1508763327
  Authorized official Same address or phone
• Cole Bruscher, OD

  • Optometrist
  • Rapid City, SD
  • NPI 1184105108
  NPD
• Jonathan Paul Nebelsick, OD

  • Optometrist
  • Hot Springs, SD
  • NPI 1659926160
  NPD

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1437555182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 KANSAS CITY ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018239",
            "telephone_number": "605-348-2323",
            "fax_number": "605-348-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 KANSAS CITY ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018239",
            "telephone_number": "605-348-2323",
            "fax_number": "605-348-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILLEN OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-348-2323",
        "authorized_official_credential": "ABO/NCLE"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9281160",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Elizabeth Pi
• Lisa Picotte, RN
• Raymond L Pierce, M.D.
• Sarah Lynne Pierce
• Shelley Lynn Pierce, BSM, MSP, ACT
• Gary Pillen
• Pinehaven, Inc (Pine Haven Heritage Home)
• Ellen Mary Pinholt, MD
• James Michael Pischke, MD
• Tavia Lee Pitsor, CNP

• Eyewear Supplier in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Eyewear Supplier in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.