Pierre Eye Clinic LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PIERRE EYE CLINIC LLC

Practice address

100 W Capitol Ave
Pierre, SD 57501-2036

Phone

(406) 868-5833

NPI assigned

Sep 19, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Shon Anthony Weaver, ODNPI 1578596425

Title

Optometrist

Phone

(406) 868-5833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shon Anthony Weaver, O.D.

  • Optometrist
  • Pierre, SD
  • NPI 1578596425
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760140800000",
    "number": "1609748516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W CAPITOL AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012036",
            "telephone_number": "406-868-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CAPITOL AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012036",
            "telephone_number": "406-868-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERRE EYE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "SHON",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "406-868-5833",
        "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": []
}

• Leonard James Petrik, PHARM. D.
• Margaret Ann Pier, LPC
• Rachal Pierce, AUD
• Pierre Care and Rehabilitation Center LLC (Pierre Care and Rehabilitation Center)
• Pierre Dental Clinic Prof LLC (Pierre Dental Clinic)
• Pierre Family Dental Prof LLC
• Pierre Indian Learning Center
• Pierre Psychology
• Pierre School District
• Pierre SD Skilled Nursing Facility LLC (Avantara Pierre)

• Optometrist in Pierre, SD
• Providers in Pierre, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; 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.