Individual provider Active NPI

Denette K. Eisnach, O.D.

  • Optometrist
  • Pierre, SD
National Provider Identifier
1467578716
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
464 Issued in SD
Practice address
640 E Sioux Ave
Pierre, SD 57501-3300
Phone
(605) 224-6128
Fax
(605) 224-8446
NPI assigned
Mar 21, 2007
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 464 SD Primary

Addresses

Primary practice location

640 E Sioux Ave
Pierre, SD 57501-3300

Mailing address

640 E Sioux Ave
Pierre, SD 57501-3300
Phone (605) 224-6128

Other identifiers 1

IdentifierTypeStateIssuer
9202672MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000551 SD Practitioner - Optometry 9436131810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dakota Eyecare LLPGroup PAC ID 9436131802, 5 clinicians

Practice addresses (Care Compare)

640 E Sioux Ave
Suite 3
Pierre, SD 57501-3300
Phone (605) 224-6128

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
71.39
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dakota Eyecare, LLP Optometrist CurrentSince Jul 29, 1997 Accepting new patients

Locations

640 E Sioux Ave
Pierre, SD 57501
Phone (605) 224-2010

640 E Sioux Ave
Ste 3
Pierre, SD 57501
Phone (605) 224-6128

Interoperability endpoints

  • Direct secure messaging: deisnach@cde.eyefinity-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1467578716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E SIOUX AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013300",
            "telephone_number": "605-224-6128",
            "fax_number": "605-224-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E SIOUX AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013300",
            "telephone_number": "605-224-6128",
            "fax_number": "605-224-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISNACH",
        "first_name": "DENETTE",
        "middle_name": "K.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9202672",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

Verify at the official NPI Registry.