| Beth Bruening Pc | |
|
101 Tower Road, Suite 300, Dakota Dunes, SD 57049 | |
| (605) 217-4500 | |
| (605) 217-4503 |
| Full Name | Beth Bruening Pc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 101 Tower Road, Dakota Dunes, 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 |
|---|---|---|---|
| 1053446443 | NPI | - | NPPES |
| 10025498700 | Medicaid | NE | |
| 7760323 | Medicaid | SD | |
| 2072876 | Medicaid | IA | |
| 10025636300 | Medicaid | NE | |
| 3577 | Other | SD | SD LIC |
| 28135 | Other | IA | IA LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 650 (South Dakota) | Secondary |
| 174400000X | Specialist | 28135 (Iowa) | Secondary |
| 207W00000X | Ophthalmology | 3577 (South Dakota) | Primary |
| Provider Name | Beth Bruening |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467423517 PECOS PAC ID: 5991809147 Enrollment ID: I20070328000697 |
| Provider Name | Austin L. Strohbehn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629482468 PECOS PAC ID: 9739305046 Enrollment ID: I20180731002592 |
| Provider Name | Ryan J Rudloff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114419009 PECOS PAC ID: 3476802539 Enrollment ID: I20180822002261 |
| Provider Name | Thomas G Pratt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073661187 PECOS PAC ID: 5597842021 Enrollment ID: I20181108002060 |
| Provider Name | Justin J Kuiper |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518340181 PECOS PAC ID: 5890008262 Enrollment ID: I20220127000667 |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Bruening Pc Po Box 3566, Sioux City, IA 51102-3566 Ph: (605) 217-4500 | Beth Bruening Pc 101 Tower Road, Suite 300, Dakota Dunes, SD 57049 Ph: (605) 217-4500 |