Brad Moriarty Od Pc

LBN: Brad Moriarty Od Pc
Brad Moriarty Od Pc is an health care organization with primary practice located at 1601 Mount Rushmore Rd Suite 5, Rapid City SD 57701-4588. The organization recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as the primary health care specialty. Brad Moriarty Od Pc can be contacted via phone (605) 343-4164, or through Moriarty, Brad Jerome via phone (605) 343-4164.

Contact Information

Primary practice address
1601 Mount Rushmore Rd Suite 5 Rapid City SD 57701-4588
Phone: (605) 343-4164
Fax: (605) 348-9773
Website:
Map and Directions
Authorized official contact:
Name: Moriarty, Brad Jerome Doctor of Optometry (OD)
Phone: (605) 343-4164

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X T484 South Dakota

Profile Details

NPI number 1225338148
LBN Legal business name Brad Moriarty Od Pc
DBA Doing business as
Authorized official Moriarty, Brad Jerome Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2010
Last updated Apr 27th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225338148 NPPES
Other S104430 MEDICARE PTAN
MEDICAID 9202310 MEDICARE PTAN

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