Mountain Valley Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

673 Issued in SD

Legal business name

MOUNTAIN VALLEY VISION CENTER

Practice address

1236 North Ave
Spearfish, SD 57783-1533

Phone

(605) 642-2645

NPI assigned

Dec 30, 2011

Last updated

Jun 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Czerny, O.D.NPI 1235417148

Title

Owner

Phone

(605) 390-7624

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 6

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.

• David R Czerny, O.D.

  • Optometrist
  • Deadwood, SD
  • NPI 1235417148
  Medicare reassignment Care Compare group NPD Authorized official
• Elaine Victoria Petry, O.D.

  • Optometrist
  • Spearfish, SD
  • NPI 1083296669
  Medicare reassignment Care Compare group NPD
• Kamaria Lynn Serfling, O.D.

  • Optometrist
  • Fort Meade, SD
  • NPI 1447547021
  Medicare reassignment NPD
• Jordyn Stevens, OD

  • Optometrist
  • Chadron, NE
  • NPI 1750861886

  SD

  Medicare reassignment NPD
• Robert G Goodrich, OD

  • Optometrist
  • Spearfish, SD
  • NPI 1730133422
  NPD (past)
• Megan Renee Rotella, O.D.

  • Optometrist
  • Rapid City, SD
  • NPI 1073822169
  NPD (past)

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1932479474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 NORTH AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831533",
            "telephone_number": "605-642-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 NORTH AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831533",
            "telephone_number": "605-642-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VALLEY VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "CZERNY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-390-7624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9204090",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monument Health Rapid City Hospital, Inc.
• Monument Health Rapid City Hospital, Inc. (Monument Health Dialysis Center)
• Jennifer Pratt Moon
• Sara Mosset, DPT, CLT
• Mountain Movement Chiropractic
• Kyle Thomas Mraz
• MRSH Spearfish LLC (Spearfish Canyon Healthcare)
• Joan F Mutchler, OT
• Jill C Muth, CNP
• Justin Muth, PHARMD

• Optometrist in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.