Individual provider Active NPI

Susan Jo Pietz, O.D.

  • Optometrist
  • Watertown, SD
National Provider Identifier
1518918184
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
597 Issued in SD
Practice address
26 5TH St NE
Watertown, SD 57201-3711
Phone
(605) 882-2220
Fax
(605) 882-5675
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 597 SD Primary

Addresses

Primary practice location

26 5TH St NE
Watertown, SD 57201-3711

Mailing address

112 22ND Ave S
Brookings, SD 57006-2600
Phone (605) 882-1368

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
I20080408000082 SD Practitioner - Optometry 1759468382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 22ND S Ave
Brookings, SD 57006-2600
Phone (605) 692-5173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
597SDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pietz-Coats Optometry Inc Optometrist CurrentSince Mar 4, 2008 Accepting new patients
Bradley G Meier O.D., Meier Visual Clinic Optometrist Past Accepting new patients

Locations

112 22nd Ave S
Brookings, SD 57006
Phone (605) 692-5173

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1518918184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 22ND AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062600",
            "telephone_number": "605-882-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 5TH ST NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572013711",
            "telephone_number": "605-882-2220",
            "fax_number": "605-882-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETZ",
        "first_name": "SUSAN",
        "middle_name": "JO",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

Verify at the official NPI Registry.