Black Hills Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0553 Issued in SD

Legal business name

BLACK HILLS OPTOMETRY LLC

Doing business as

The Eyeglass Studio

Practice address

318 Mount Rushmore Rd
Suite a
Rapid City, SD 57701-2769

Phone

(605) 718-5888

Fax

(605) 718-5888

NPI assigned

Jun 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Dawn Wattenhofer, O.D.

Title

Optometrist/Owner

Phone

(605) 718-5888

Specialties & licenses 1

Addresses

Other names 1

• The Eyeglass Studio Doing business as

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312070400000",
    "number": "1699069567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 TOMAHAWK DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024250",
            "telephone_number": "605-718-5888",
            "fax_number": "605-718-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MOUNT RUSHMORE RD",
            "address_2": "SUITE A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012769",
            "telephone_number": "605-718-5888",
            "fax_number": "605-718-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-07-31",
        "status": "A",
        "authorized_official_last_name": "WATTENHOFER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "605-718-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "0553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eyeglass Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Black Hills Modern Endodontics
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• Black Hills Obstetrics & Gynecology LLC
• Black Hills Obstetrics and Gynecology LLP
• Black Hills Oral & Maxillofacial Surgery PC
• Black Hills Oral Surgery and Dental Implant Center, LLP
• Black Hills Orthodontics, Prof. L.L.C. (Rapid City Orthodontics)
• Black Hills Orthodontics, Prof. L.L.C. (Meyer & Dana Orthodontics)
• Black Hills Orthodontics, Prof. L.L.C.

• Optometrist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; 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.