| Lifetime Eyecare | |
|
1230 North Ave, Suite #3, Spearfish, SD 57783-3028 | |
| (605) 642-4656 | |
| Not Available |
| Full Name | Lifetime Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1230 North Ave, Spearfish, 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 |
|---|---|---|---|
| 1346362373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 108 (South Dakota) | Secondary |
| 152W00000X | Optometrist | 592 (South Dakota) | Primary |
| Provider Name | Terry J Wolthuis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770524688 PECOS PAC ID: 5193618841 Enrollment ID: I20040205000793 |
| Provider Name | Scott Richard Kennedy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871561795 PECOS PAC ID: 5092844068 Enrollment ID: I20100601000360 |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Eyecare 1230 North Ave, Suite #3, Spearfish, SD 57783-3028 Ph: (605) 642-4656 | Lifetime Eyecare 1230 North Ave, Suite #3, Spearfish, SD 57783-3028 Ph: (605) 642-4656 |
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 | |
Dr. Elaine Victoria Petry, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1236 North Ave, Spearfish, SD 57783 Phone: 605-642-2645 | |
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 | |
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 |