Mountain Valley Vision Center

LBN: Mountain Valley Vision Center
Mountain Valley Vision Center is an health care organization with primary practice located at 1236 North Ave , Spearfish SD 57783-1533. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Mountain Valley Vision Center can be contacted via phone (605) 642-2645, or through Czerny, David via phone (605) 390-7624.

Contact Information

Primary practice address
1236 North Ave Spearfish SD 57783-1533
Phone: (605) 642-2645
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Czerny, David Doctor of Optometry (OD)
Phone: (605) 390-7624

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 673 South Dakota

Profile Details

NPI number 1932479474
LBN Legal business name Mountain Valley Vision Center
DBA Doing business as
Authorized official Czerny, David Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2011
Last updated Jun 13th, 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 1932479474 NPPES
South Dakota MEDICAID 9204090

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