Organization Active NPI

Barnett Vision Healthcare, LLC

  • Optometrist
  • Rapid City, SD
National Provider Identifier
1568922573
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BARNETT VISION HEALTHCARE, LLC
Practice address
409 Kansas City St
Rapid City, SD 57701-3636
Phone
(605) 348-2323
Fax
(605) 348-6694
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Dr. Matthew Keenan Barnett, OD
Title
Owner
Phone
(605) 348-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

409 Kansas City St
Rapid City, SD 57701-3636

Mailing address

409 Kansas City St
Rapid City, SD 57701-3636
Phone (605) 348-2323

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1568922573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 KANSAS CITY ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013636",
            "telephone_number": "605-348-2323",
            "fax_number": "605-348-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 KANSAS CITY ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013636",
            "telephone_number": "605-348-2323",
            "fax_number": "605-348-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNETT VISION HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "KEENAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-348-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 25, 2019; 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.