| Atlas Pllc | |
|
409 Kansas City St, Rapid City, SD 57701-3636 | |
| (605) 348-2323 | |
| (605) 348-6694 |
| Full Name | Atlas Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 409 Kansas City St, Rapid City, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760951107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 152WV0400X | Optometrist - Vision Therapy | (* (Not Available)) | Secondary |
| Provider Name | Antwan Percy Randolph |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568798841 PECOS PAC ID: 2769723543 Enrollment ID: I20210217002618 |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Pllc 409 Kansas City St, Rapid City, SD 57701-3636 Ph: (605) 348-2323 | Atlas Pllc 409 Kansas City St, Rapid City, SD 57701-3636 Ph: (605) 348-2323 |
Dr. Gaylene R. Kudrna, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2020 Jackson Blvd, Suite 1, Rapid City, SD 57702 Phone: 605-342-0777 Fax: 605-342-7282 | |
Cary S. Feldman, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 808 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-719-9489 | |
Dr. Megan Renee Rotella, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2200 N Maple Ave, Attn: Jcpenney Optical, Rapid City, SD 57701 Phone: 605-341-7832 Fax: 605-399-9319 | |
Ross English, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 925 Eglin St, Rapid City, SD 57701 Phone: 605-342-1213 | |
Eye Works, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 685 Mountain View Rd, Rapid City, SD 57702 Phone: 605-718-7550 | |
Dr. Jess Moser, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2800 3rd St, Rapid City, SD 57701 Phone: 605-719-3107 Fax: 605-719-3321 | |
Dr. Jared Carl Pearson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 318 Mount Rushmore Rd, Suite A, Rapid City, SD 57701 Phone: 605-399-3937 |