Your Eyes Only Optical, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

YOUR EYES ONLY OPTICAL, INC

Practice address

240 Minnesota St
Rapid City, SD 57701-6200

Phone

(605) 716-2190

Fax

(605) 716-2199

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marsha Kae Humphreys

Title

Optician Manager

Phone

(605) 716-2190

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

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

• Renae Elizabeth Welke, OD

  • Optometrist
  • Rapid City, SD
  • NPI 1487935730
  NPD

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487797320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MINNESOTA ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016200",
            "telephone_number": "605-716-2190",
            "fax_number": "605-716-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MINNESOTA ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016200",
            "telephone_number": "605-716-2190",
            "fax_number": "605-716-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR EYES ONLY OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "KAE",
        "authorized_official_title_or_position": "OPTICIAN MANAGER",
        "authorized_official_telephone_number": "605-716-2190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9280190",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Young
• Vassilia D Young, MD
• Amanda Mytt Youngers, CNM
• Dan Howard Youngren, D.D.S.
• Your Counselor, LLC
• Your Light So Shines LLC
• Youth & Family Services, Inc.
• Youth & Family Services, Inc.
• Youth & Family Services, Inc.
• Youth and Family Services

• 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.