| Deadwood Eye Care Llc | |
|
88 Charles St, Deadwood, SD 57732-1303 | |
| (605) 578-1761 | |
| Not Available |
| Full Name | Deadwood Eye Care Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 88 Charles St, Deadwood, 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 |
|---|---|---|---|
| 1003168980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 673 (South Dakota) | Primary |
| Provider Name | David R Czerny |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235417148 PECOS PAC ID: 5496927287 Enrollment ID: I20111021000194 |
| Provider Name | Elaine Victoria Petry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083296669 PECOS PAC ID: 7416352125 Enrollment ID: I20220913001797 |
| Mailing Address | Practice Location Address |
|---|---|
| Deadwood Eye Care Llc 88 Charles St, Deadwood, SD 57732-1303 Ph: (605) 578-1761 | Deadwood Eye Care Llc 88 Charles St, Deadwood, SD 57732-1303 Ph: (605) 578-1761 |
Dr. David R Czerny, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 88 Charles St, Deadwood, SD 57732 Phone: 605-578-1761 | |
Dr. Michael J. Guilbert, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 88 Charles St, Deadwood, SD 57732 Phone: 605-578-1761 Fax: 605-578-1121 | |
Michael J Guilbert, Od, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 88 Charles St, Deadwood, SD 57732 Phone: 605-578-1761 Fax: 605-578-1121 |