Deadwood Eye Care Llc | |
88 Charles St, Deadwood, SD 57732-1303 | |
(605) 578-1761 | |
Not Available |
Full Name | Deadwood Eye Care Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 88 Charles St, Deadwood, 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 |
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1003168980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 673 (South Dakota) | Primary |
Provider Name | Jessica R Czerny |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457639080 PECOS PAC ID: 7416129895 Enrollment ID: I20111006000509 |
Provider Name | David R Czerny |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1235417148 PECOS PAC ID: 5496927287 Enrollment ID: I20111021000194 |
Provider Name | Elaine Victoria Petry |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083296669 PECOS PAC ID: 7416352125 Enrollment ID: I20220913001797 |
Mailing Address | Practice Location Address |
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Deadwood Eye Care Llc 88 Charles St, Deadwood, SD 57732-1303 Ph: (605) 578-1761 | Deadwood Eye Care Llc 88 Charles St, Deadwood, SD 57732-1303 Ph: (605) 578-1761 |
Dr. David R Czerny, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 88 Charles St, Deadwood, SD 57732 Phone: 605-578-1761 | |
Dr. Michael J. Guilbert, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 88 Charles St, Deadwood, SD 57732 Phone: 605-578-1761 Fax: 605-578-1121 | |
Deadwood Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 88 Charles St, Deadwood, SD 57732 Phone: 605-578-1761 Fax: 605-578-1121 |