Organization Active NPI

Vision West Eye Care PLLC

  • Optometrist
  • Rapid City, SD
National Provider Identifier
1992393250
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION WEST EYE CARE PLLC
Practice address
825 Columbus St Ste E
Rapid City, SD 57701-4804
Phone
(605) 343-4703
Fax
(605) 721-7201
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Barbara Ice
Title
Office Manager
Phone
(605) 343-4703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

825 Columbus St Ste E
Rapid City, SD 57701-4804

Mailing address

825 Columbus St Ste E
Rapid City, SD 57701-4804
Phone (605) 343-4703

Other names 1

  • Vision Source Rapid City Former legal business name

National Provider Directory

National Provider Directory

Locations

825 Columbus St
Ste E
Rapid City, SD 57701
Phone (605) 343-4703

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1992393250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 COLUMBUS ST STE E",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014804",
            "telephone_number": "605-343-4703",
            "fax_number": "605-721-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 COLUMBUS ST STE E",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014804",
            "telephone_number": "605-343-4703",
            "fax_number": "605-721-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION WEST EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "ICE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-343-4703"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source Rapid City",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 4, 2021; 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.