| Independent Eyes Llc | |
|
808 Mount Rushmore Rd Rapid City SD 57701-3603 | |
| (605) 343-6617 | |
| Not Available |
| Full Name | Independent Eyes Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 808 Mount Rushmore Rd, Rapid City, South Dakota |
| Authorized Official Name and Position | Sarah Kay Kuipers (OPTOMETRIST) |
| Authorized Official Contact | 6053436617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Eyes Llc 808 Mount Rushmore Rd Rapid City SD 57701-3603 Ph: () - | Independent Eyes Llc 808 Mount Rushmore Rd Rapid City SD 57701-3603 Ph: (605) 343-6617 |
| NPI Number | 1760834162 |
|---|---|
| Provider Enumeration Date | 07/08/2016 |
| Last Update Date | 07/08/2016 |
| Medicare PECOS PAC ID | 5698062321 |
|---|---|
| Medicare Enrollment ID | O20161013002563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760834162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 729 (South Dakota) | Primary |
| Provider Name | Megan Renee Rotella |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073822169 PECOS PAC ID: 7810130531 Enrollment ID: I20130828000755 |
| Provider Name | Sarah Kay Kuipers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902256738 PECOS PAC ID: 6507153236 Enrollment ID: I20161013002572 |
| Provider Name | Kassy J Swanson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609128941 PECOS PAC ID: 1153630603 Enrollment ID: I20170331001482 |
| Provider Name | Penelope A Haeker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326040361 PECOS PAC ID: 5193824225 Enrollment ID: I20220922001472 |
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