Organization Active NPI

Michael S Richey, OD PC

Doing business as Spearfish Eye Care Center

  • Optometrist
  • Spearfish, SD
National Provider Identifier
1457554610
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
450 Issued in SD
Legal business name
MICHAEL S RICHEY, OD PC
Doing business as
Spearfish Eye Care Center
Practice address
1710 North Ave
Spearfish, SD 57783-1218
Phone
(605) 642-8480
Fax
(605) 642-8185
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Michael S Richey, ODNPI 1992815500
Title
Owner
Phone
(605) 642-8480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 450 SD Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 502 SD
Optometric TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1202X
Durable Medical Equipment & Medical Supplies 332B00000X 450 SD

Addresses

Primary practice location

1710 North Ave
Spearfish, SD 57783-1218

Mailing address

1710 North Ave
Spearfish, SD 57783-1218
Phone (605) 642-8480

Other identifiers 1

IdentifierTypeStateIssuer
102520100OtherWYGROUP NUMBER

Other names 1

  • Spearfish Eye Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

1710 North Ave
Spearfish, SD 57783
Phone (605) 642-8430

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1457554610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 NORTH AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831218",
            "telephone_number": "605-642-8480",
            "fax_number": "605-642-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 NORTH AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831218",
            "telephone_number": "605-642-8480",
            "fax_number": "605-642-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S RICHEY, OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "RICHEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-642-8480",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "450",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "502",
            "primary": false
        },
        {
            "code": "156FX1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SD",
            "license": "450",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "102520100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spearfish Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 20, 2010; 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.