| The Optical Shop | |
|
112 22nd Ave S, Brookings, SD 57006-2600 | |
| (605) 692-5173 | |
| (605) 692-6710 |
| Full Name | The Optical Shop |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 112 22nd Ave S, Brookings, 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 |
|---|---|---|---|
| 1316119738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 597 (South Dakota) | Primary |
| Provider Name | Susan J Pietz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518918184 PECOS PAC ID: 1759468382 Enrollment ID: I20080408000082 |
| Mailing Address | Practice Location Address |
|---|---|
| The Optical Shop Po Box 785, Brookings, SD 57006-0785 Ph: (605) 692-5173 | The Optical Shop 112 22nd Ave S, Brookings, SD 57006-2600 Ph: (605) 692-5173 |
Wyatt Nash-keller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1208 22nd Ave S, Brookings, SD 57006 Phone: 605-692-2020 Fax: 605-692-9594 | |
Ms. Trisha J Morehouse, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 606 20th St S, Brookings, SD 57006 Phone: 605-627-1212 Fax: 605-627-1313 | |
Dr. Clayton Paul Twitero, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 606 20th St S, Brookings, SD 57006 Phone: 605-627-1212 Fax: 605-627-1313 | |
Jason Jahn Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 6th St, Brookings, SD 57006 Phone: 605-692-2020 Fax: 605-692-9594 | |
Jason Jahn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1208 22nd Ave S, Brookings, SD 57006 Phone: 605-692-2020 Fax: 605-692-9594 | |
Wyatt Nash-keller Od Prof Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 960 22nd Ave S, Brookings, SD 57006 Phone: 605-370-6066 |