| Black Hills Regional Eye Institute, Llp | |
|
3100 West Lakewood Road, Suite 2, Gillette, WY 82718-4135 | |
| (307) 686-0883 | |
| Not Available |
| Full Name | Black Hills Regional Eye Institute, Llp |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 3100 West Lakewood Road, Gillette, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689863839 | NPI | - | NPPES |
| 116328700 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Stephen Khachikian |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518139070 PECOS PAC ID: 5991875189 Enrollment ID: I20090817000724 |
| Provider Name | Scott Schirber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558575498 PECOS PAC ID: 4183710551 Enrollment ID: I20100924000646 |
| Provider Name | Adam Jeff Jorgensen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366700460 PECOS PAC ID: 2163652512 Enrollment ID: I20171020002209 |
| Provider Name | Cory D Bergman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285049940 PECOS PAC ID: 7911129440 Enrollment ID: I20210202001325 |
| Provider Name | Michael James Dasilva |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992237903 PECOS PAC ID: 3971877887 Enrollment ID: I20220627001258 |
| Provider Name | Prema Abraham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063492940 PECOS PAC ID: 5597756262 Enrollment ID: I20230405002758 |
| Provider Name | Zachary J Berbos |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497996433 PECOS PAC ID: 8123150869 Enrollment ID: I20231025001268 |
| Provider Name | Nathan C Steinle |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942455423 PECOS PAC ID: 0345394268 Enrollment ID: I20231227002797 |
| Mailing Address | Practice Location Address |
|---|---|
| Black Hills Regional Eye Institute, Llp 2800 3rd St, Rapid City, SD 57701-7374 Ph: (605) 341-2000 | Black Hills Regional Eye Institute, Llp 3100 West Lakewood Road, Suite 2, Gillette, WY 82718-4135 Ph: (307) 686-0883 |