Dawn Wattenhofer, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

SD0553 Issued in SD

Legal business name

DAWN WATTENHOFER, O.D., P.C.

Doing business as

Eye Care Associates

Practice address

2200 N Maple Ave
Rapid City, SD 57701-7854

Phone

(605) 343-1200

Fax

(605) 343-9752

NPI assigned

Jan 29, 2007

Last updated

May 19, 2008By 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

Dr. Dawn Wattenhofer, O.D.

Title

President

Phone

(605) 343-1200

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Eye Care Associates Doing business as

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1487790234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N MAPLE AVE STE D-252",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017854",
            "telephone_number": "605-343-1200",
            "fax_number": "605-343-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N MAPLE AVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017854",
            "telephone_number": "605-343-1200",
            "fax_number": "605-343-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN WATTENHOFER, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "WATTENHOFER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-343-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "SD0553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC.# FOR DAWN WATTENHOFE",
            "identifier": "SD0553",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC.# FOR DEREK ALLMER",
            "identifier": "SD0563",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0006984",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9200982",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203144",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Watson Davis, MA
• Sabre Davis, ED. S NCSP
• Tamara Dawn Davis
• Taryn Davis, LMT
• Dawn Wattenhofer (Eye Care Associates)
• Kristi Sue Dawson, PA
• Day & Night Home Care Services
• Barbara Louise Dean, L.M.T.
• Robert Deaver
• Debra Hughes

• Optometrist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.