Spearfish Vision Works, P.C.

Key facts

NPI

1447664800

Entity type

Organization (NPI type 2)

Primary specialty

Optometrist 152W00000X

License

T624 (SD)

Legal business name

SPEARFISH VISION WORKS, P.C.

Practice address

1432 Mill St
Belle Fourche, SD 57717-2304

Phone

(605) 723-3937

Fax

(605) 723-3940

NPI assigned

Jun 13, 2014

Organization subpart

Yes

Parent organization (as reported)

SPEARFISH VISION WORKS, P.C.

Authorized official

Name

Dr. Brian K Gill, O.D. NPI 1285657742

Title

President/Optometrist

Phone

(605) 484-1977

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Spearfish Vision Works, P.C. Optometrist · Spearfish, SD · NPI 1720190457
  NPPES parent name

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Spearfish Vision Works, P.C. Optometrist · Spearfish, SD · NPI 1720190457
  Same enrollment O20070627000668

Practitioners 1

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

• Brian Keith Gill, O.D. Optometrist · Belle Fourche, SD · NPI 1285657742
  Medicare reassignment Authorized official SD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in SD

Medicare enrollment records

National Provider Directory

Part of

Spearfish Vision Works PC

Locations

Specialties & licenses

Addresses

Other names

• Redwater Eye Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 13, 2014.

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1447664800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 MILL ST",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577172304",
            "telephone_number": "605-723-3937",
            "fax_number": "605-723-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 MILL ST",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577172304",
            "telephone_number": "605-723-3937",
            "fax_number": "605-723-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEARFISH VISION WORKS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPEARFISH VISION WORKS, P.C.",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "605-484-1977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "T624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwater Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belle Fourche, SD

• Regional Health Physicians Inc
• Jacob A Russell
• Crystal Lynn Schmidt, OTR/L
• Jamie Lynn Schweiss, DPT
• Shopko Stores Operating Co LLC
• Cole Wesley Staigle, PT, DPT
• Stinton Chiropractic Clinic P.C.
• Shawn David Stinton, D.C.
• The Lactation Network, LLC
• Trec Badlands Prenatal to Five Head Start

All providers in Belle Fourche, SD · Optometrist in South Dakota