Active NPI
Huron Vision Center
- Optometrist
- Huron, SD
National Provider Identifier
1538343934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T101
- Legal business name
- HURON VISION CENTER
- Practice address
- 1712 Dakota Ave S
Huron, SD 57350-4024 - Phone
- (605) 352-8511
- NPI assigned
- Dec 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Johnson, O.D.
- Title
- Owner
- Phone
- (605) 352-8511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T101 | SD | Primary |
Addresses
Primary practice location
1712 Dakota Ave S
Huron, SD 57350-4024
Mailing address
1712 Dakota Ave S
Huron, SD 57350-4024
Phone (605) 352-8511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9200012 | Medicaid | SD | |
| S41319 | Other | SD | GROUP LEGACY NUMBER |
National Provider Directory
National Provider DirectoryLocations
1712 Dakota Ave S
Huron, SD 57350
Phone (605) 352-8511
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Owatonna, MN
- NPI 1992725436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276214400000",
"number": "1538343934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 DAKOTA AVE S",
"city": "HURON",
"state": "SD",
"postal_code": "573504024",
"telephone_number": "605-352-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 DAKOTA AVE S",
"city": "HURON",
"state": "SD",
"postal_code": "573504024",
"telephone_number": "605-352-8511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HURON VISION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-20",
"last_updated": "2010-06-11",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-352-8511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "SD",
"license": "T101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9200012",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP LEGACY NUMBER",
"identifier": "S41319",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huron, SD
- Huron Regional Medical Center, Inc
- Huron Regional Medical Center, Inc
- Huron School District
- Huron SD Assisted Living Facility LLC (Wellshire Huron)
- Huron SD Skilled Nursing Facility LLC (Avantara Huron)
- Huron VT LLC (Angelhaus Huron)
- Independent Health Solutions LLC
- Independent Health Solutions LLC
- Independent Health Solutions LLC
- Samuel C Janes, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.