Organization Active NPI

Huron Vision Center

  • Optometrist
  • Huron, SD
National Provider Identifier
1538343934
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T101 Issued in SD
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

Updated by the provider on Jun 11, 2010

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9200012MedicaidSD
S41319OtherSDGROUP LEGACY NUMBER

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.