Individual provider Active NPI

Steven Schaefer, OD

  • Optometrist
  • Rapid City, SD
National Provider Identifier
1821720186
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
781 Issued in SD
Practice address
2626 W Main St Ste 4
Rapid City, SD 57702-2496
Phone
(605) 399-3811
NPI assigned
Jun 27, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 781 SD Primary

Addresses

Primary practice location

2626 W Main St Ste 4
Rapid City, SD 57702-2496

Mailing address

1331 Village Dr Apt 303
Rapid City, SD 57701-8145
Phone (605) 545-0391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712001374 SD Practitioner - Optometry 6901286657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Becker and Sorensen PCGroup PAC ID 6507770294, 4 clinicians

Practice addresses (Care Compare)

2626 W Main St
Suite 4
Rapid City, SD 57702-2496
Phone (605) 399-3811

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
781SDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Regional Eye Institute, LLP Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Becker & Sorensen, PC Optometrist CurrentSince Jun 27, 2022 Accepting new patients
Black Hills Regional Eye Institute, LLP Optometrist CurrentSince Aug 1, 2022 Accepting new patients

Locations

2626 W Main St
Ste 4
Rapid City, SD 57702
Phone (602) 399-3811

2800 3rd St
Rapid City, SD 57701
Phone (605) 341-2000

Interoperability endpoints

  • Direct secure messaging: steven@eyedoctorsrapidcity.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1821720186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 VILLAGE DR APT 303",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018145",
            "telephone_number": "605-545-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 W MAIN ST STE 4",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022496",
            "telephone_number": "605-399-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "STEVEN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.