Active NPI
Pauline Susan Weichler, OD
- Optometrist
- Rapid City, SD
National Provider Identifier
1699768010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- SD484
- Practice address
- 685 Mountain View Rd
Rapid City, SD 57702-2518 - Phone
- (605) 718-7550
- Fax
- (605) 718-7551
- NPI assigned
- Aug 31, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | SD484 | SD | Primary |
Addresses
Primary practice location
685 Mountain View Rd
Rapid City, SD 57702-2518
Mailing address
685 Mountain View Rd
Rapid City, SD 57702-2518
Phone (605) 718-7550
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7992560 | Other | SD | BCBS |
| 90000106357702A002 | Other | TRI CARE | |
| 9202623 | Medicaid | SD | |
| 0040327 | Other | BCBS WELLMARK | |
| 484 | Other | DAKOTACARE | |
| 9202625 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SD484 | SD | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1699768010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 MOUNTAIN VIEW RD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577022518",
"telephone_number": "605-718-7550",
"fax_number": "605-718-7551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 MOUNTAIN VIEW RD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577022518",
"telephone_number": "605-718-7550",
"fax_number": "605-718-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEICHLER",
"first_name": "PAULINE",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SD",
"license": "SD484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "7992560",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI CARE",
"identifier": "90000106357702A002",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9202623",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS WELLMARK",
"identifier": "0040327",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "484",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9202625",
"state": "SD"
}
],
"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 Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.