Dr Elaine Victoria Petry, OD | |
1236 North Ave, Spearfish, SD 57783-1533 | |
(605) 642-2645 | |
Not Available |
Full Name | Dr Elaine Victoria Petry |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 4 Years |
Location | 1236 North Ave, Spearfish, South Dakota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083296669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 785 (South Dakota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Deadwood Eye Care Llc | 2567615917 | 2 |
Mountain Valley Vision Center | 3072772847 | 2 |
Provider Name | Mountain Valley Vision Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932479474 PECOS PAC ID: 3072772847 Enrollment ID: O20120314000427 |
Provider Name | Deadwood Eye Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003168980 PECOS PAC ID: 2567615917 Enrollment ID: O20130115000041 |
Mailing Address | Practice Location Address |
---|---|
Dr Elaine Victoria Petry, OD 1001 N Grand Ave, Tahlequah, OK 74464-7017 Ph: (918) 444-4000 | Dr Elaine Victoria Petry, OD 1236 North Ave, Spearfish, SD 57783-1533 Ph: (605) 642-2645 |
Family Optical P C Optometrist Medicare: Medicare Enrolled Practice Location: 1420 North Ave Ste 1, Spearfish, SD 57783 Phone: 605-642-0387 Fax: 605-642-0388 | |
Robert G Goodrich Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 830 N Main St, Suite 1, Spearfish, SD 57783 Phone: 605-642-2645 Fax: 605-642-8345 | |
Eryn Caudill, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1420 North Ave, Spearfish, SD 57783 Phone: 605-642-0387 | |
Lifetime Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 1230 North Ave, Suite #3, Spearfish, SD 57783 Phone: 605-642-4656 | |
Spearfish Eye Care Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1710 North Ave, Spearfish, SD 57783 Phone: 605-642-8480 Fax: 605-642-8185 | |
Jessica R Czerny, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1236 North Ave, Spearfish, SD 57783 Phone: 605-642-2645 |