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BRAD MORIARTY OD PC NPI 1225338148


NPI Information

NPI: 1225338148
Provider Name: BRAD MORIARTY OD PC
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
1601 MOUNT RUSHMORE RD
SUITE 5
RAPID CITY, SD
ZIP 57701
Phone: (605) 343-4164
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BRAD MORIARTY OD PC is a corneal and contact management optometrist in Rapid City, SD. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. BRAD MORIARTY OD PC NPI is 1225338148. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1601 MOUNT RUSHMORE RD
SUITE 5
RAPID CITY, SD
ZIP 57701-588
Phone: (605) 343-4164
Fax: (605) 348-9773

The provider's authorized official is Brad Jerome Moriarty .
The authorized official title is President and has the following contact phone number (605) 343-4164.

The enumeration date for this NPI number is 10/26/2010 and was last updated on 4/27/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact ManagementT484SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1S104430OTHERMEDICARE PTAN
2U21623MEDICARE UPIN
39202310MEDICAIDSOUTH DAKOTA
4S104430MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.