Active NPI
MD Bartley Opticians
- Eyewear Supplier
- Brookings, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 9280210
- Legal business name
- MD BARTLEY OPTICIANS
- Practice address
- 2311 Yorkshire Dr
Brookings, SD 57006-2446 - Phone
- (605) 692-7619
- Fax
- (605) 697-9005
- NPI assigned
- Mar 13, 2007
- Last updated
- Jan 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Don Bartley
- Title
- Owner
- Phone
- (605) 692-7619
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 9280210 | SD | Primary |
Addresses
Primary practice location
2311 Yorkshire Dr
Brookings, SD 57006-2446
Mailing address
2311 Yorkshire Dr
Brookings, SD 57006-2446
Phone (605) 692-7619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9290210 | Medicaid | SD |
National Provider Directory
National Provider DirectoryLocations
2204 Derdall Dr
Brookings, SD 57006
Phone (605) 692-7448
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hearing Instrument Specialist
- Brookings, SD
- NPI 1972760205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199836800000",
"number": "1891828794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 YORKSHIRE DR",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "570062446",
"telephone_number": "605-692-7619",
"fax_number": "605-697-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 YORKSHIRE DR",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "570062446",
"telephone_number": "605-692-7619",
"fax_number": "605-697-9005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD BARTLEY OPTICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2008-01-09",
"status": "A",
"authorized_official_last_name": "BARTLEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "DON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-692-7619",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "SD",
"license": "9280210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9290210",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookings, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.