Active NPI
Michael S Richey, OD
- Optometrist
- Spearfish, SD
National Provider Identifier
1992815500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 450
- Practice address
- 1710 North Ave
Spearfish, SD 57783 - Phone
- (605) 642-8480
- Fax
- (605) 642-8185
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 450 | SD | Primary |
Addresses
Primary practice location
1710 North Ave
Spearfish, SD 57783
Mailing address
1710 North Ave
Spearfish, SD 57783
Phone (605) 642-8480
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0076521 | Other | SD | BLUE CROSS |
| 120802100 | Other | WY | EQUALITY CARE |
| 9201880 | Medicaid | SD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 450 | SD | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathryn O Haivala, OD PLLC | Optometrist | Current | Accepting new patients |
| Spearfish Eye Care Center | Past | Accepting new patients |
Locations
1710 North Ave
Spearfish, SD 57783
Phone (605) 642-8430
Organizations & group practices 2
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.
-
- Optician
- Spearfish, SD
- NPI 1144256587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1992815500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 NORTH AVE",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "57783",
"telephone_number": "605-642-8480",
"fax_number": "605-642-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 NORTH AVE",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "57783",
"telephone_number": "605-642-8480",
"fax_number": "605-642-8185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHEY",
"first_name": "MICHAEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SD",
"license": "450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0076521",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EQUALITY CARE",
"identifier": "120802100",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9201880",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spearfish, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.