Organization Active NPI

Becker & Sorensen, PC

Doing business as In Vision Optical and Eye Care

  • Optometrist
  • Rapid City, SD
National Provider Identifier
1558545152
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
517 Issued in SD
Legal business name
BECKER & SORENSEN, PC
Doing business as
In Vision Optical and Eye Care
Practice address
2626 West Main Street
Suite 4
Rapid City, SD 57702-2496
Phone
(605) 399-3811
Fax
(605) 399-3845
NPI assigned
Dec 19, 2007
Last updated
Jan 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Cathleen James
Title
Office Manager
Phone
(605) 399-3811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 517 SD Primary

Addresses

Primary practice location

2626 West Main Street
Suite 4
Rapid City, SD 57702-2496

Mailing address

2626 West Main Street
Suite 4
Rapid City, SD 57702-2496
Phone (605) 399-3811

Other identifiers 1

IdentifierTypeStateIssuer
9200072MedicaidSD

Other names 1

  • In Vision Optical and Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000807 SD Part B Supplier - Clinic/Group Practice 6507770294 Receives reassigned benefits from 4 practitioners
Practice locations: Rapid City, SD

National Provider Directory

National Provider Directory

Locations

2626 W Main St
Ste 4
Rapid City, SD 57702
Phone (602) 399-3811

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1558545152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 WEST MAIN STREET",
            "address_2": "SUITE 4",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022496",
            "telephone_number": "605-399-3811",
            "fax_number": "605-399-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 WEST MAIN STREET",
            "address_2": "SUITE 4",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022496",
            "telephone_number": "605-399-3811",
            "fax_number": "605-399-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKER & SORENSEN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-399-3811"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9200072",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In Vision Optical and Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.