Organization Active NPI

Dawn Wattenhofer

Doing business as Eye Care Associates

  • Optometrist
  • Rapid City, SD
National Provider Identifier
1821258104
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0553 Issued in SD
Legal business name
DAWN WATTENHOFER
Doing business as
Eye Care Associates
Practice address
2200 N Maple Ave
Rapid City, SD 57701-7854
Phone
(605) 343-1200
Fax
(605) 343-9752
NPI assigned
Jun 11, 2008
Last updated
Jun 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Dawn L Wattenhofer, OD
Title
Optometrist
Phone
(605) 343-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0553 SD Primary

Addresses

Primary practice location

2200 N Maple Ave
Rapid City, SD 57701-7854

Mailing address

2200 N Maple Ave
Rapid City, SD 57701-7854
Phone (605) 343-1200

Other names 1

  • Eye Care Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1821258104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N MAPLE AVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017854",
            "telephone_number": "605-343-1200",
            "fax_number": "605-343-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N MAPLE AVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017854",
            "telephone_number": "605-343-1200",
            "fax_number": "605-343-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN WATTENHOFER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "WATTENHOFER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "605-343-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "0553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 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.

Verify at the official NPI Registry.