Provider Type Icon

BLACK HILLS REGIONAL EYE INSTITUTE NPI 1912073834


NPI Information

NPI: 1912073834
Provider Name: BLACK HILLS REGIONAL EYE INSTITUTE
Classification: Optometrist - 152WL0500X
Entity Type: Organization

Specialization: Low Vision Rehabilitation

Address:
2800 3RD ST
RAPID CITY, SD
ZIP 57701
Phone: (605) 341-2000
Get Directions

BLACK HILLS REGIONAL EYE INSTITUTE is a low vision rehabilitation optometrist in Rapid City, SD. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. BLACK HILLS REGIONAL EYE INSTITUTE NPI is 1912073834. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2800 3RD ST
RAPID CITY, SD
ZIP 57701-374
Phone: (605) 341-2000
Fax: (605) 341-0278

The provider's authorized official is Jodi J Sudrala .
The authorized official title is Chief Financial Officer and has the following contact phone number (605) 341-2000.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 8/22/2020.


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
1152WL0500XOptometristLow Vision Rehabilitation100SOUTH 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
19200655MEDICAIDSOUTH DAKOTA

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.