Individual provider Active NPI

Sarah Houdek, OD

  • Optometrist
  • Rapid City, SD
National Provider Identifier
1558974964
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
766 Issued in SD
Practice address
2020 Jackson Blvd Ste 1
Rapid City, SD 57702-3483
Phone
(605) 342-0777
Fax
(605) 342-7282
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 766 SD Primary

Addresses

Primary practice location

2020 Jackson Blvd Ste 1
Rapid City, SD 57702-3483

Mailing address

2020 Jackson Blvd Ste 1
Rapid City, SD 57702-3483
Phone (605) 342-0777

Other names 1

  • Sarah Petereit Former name

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
I20200904001587 SD Practitioner - Optometry 9133546187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Becker and Sorensen PCGroup PAC ID 6507770294, 4 clinicians

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
766SDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Becker & Sorensen, PC Optometrist CurrentSince Sep 2, 2025 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1558974964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 JACKSON BLVD STE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023483",
            "telephone_number": "605-342-0777",
            "fax_number": "605-342-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 JACKSON BLVD STE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023483",
            "telephone_number": "605-342-0777",
            "fax_number": "605-342-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUDEK",
        "first_name": "SARAH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PETEREIT",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.