| Mountain Valley Vision Center | |
|
1236 North Ave, Spearfish, SD 57783-1533 | |
| (605) 642-2645 | |
| Not Available |
| Full Name | Mountain Valley Vision Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1236 North Ave, Spearfish, 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 |
|---|---|---|---|
| 1932479474 | NPI | - | NPPES |
| 9204090 | Medicaid | SD |
| 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 | Kamaria Lynn Serfling |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447547021 PECOS PAC ID: 2466608534 Enrollment ID: I20120806000047 |
| Provider Name | Jordyn Stevens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750861886 PECOS PAC ID: 8820348030 Enrollment ID: I20190522002749 |
| 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 |
|---|---|
| Mountain Valley Vision Center 1236 North Ave, Spearfish, SD 57783-1533 Ph: (605) 642-2645 | Mountain Valley Vision Center 1236 North Ave, Spearfish, SD 57783-1533 Ph: (605) 642-2645 |
Family Optical P C Optometrist Medicare: Medicare Enrolled Practice Location: 1420 North Ave Ste 1, Spearfish, SD 57783 Phone: 605-642-0387 Fax: 605-642-0388 | |
Dr. Elaine Victoria Petry, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1236 North Ave, Spearfish, SD 57783 Phone: 605-642-2645 | |
Robert G Goodrich Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 830 N Main St, Suite 1, Spearfish, SD 57783 Phone: 605-642-2645 Fax: 605-642-8345 | |
Eryn Caudill, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1420 North Ave, Spearfish, SD 57783 Phone: 605-642-0387 | |
Lifetime Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 1230 North Ave, Suite #3, Spearfish, SD 57783 Phone: 605-642-4656 | |
Jessica R Czerny, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1236 North Ave, Spearfish, SD 57783 Phone: 605-642-2645 | |
Dr. Kathryn Opbroek Haivala, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1710 North Ave, Spearfish, SD 57783 Phone: 605-642-8480 Fax: 605-642-8185 |