NPI 1043778103 · live from the CMS NPI Registry
Black Hills Regional Eye Institute, Llp
Ophthalmology in Chadron, NE. National Provider Identifier 1043778103, active.
NPI record
| NPI | 1043778103 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1640 Highway 20, Chadron, NE 69337 |
| Practice phone | 605-341-2000 |
| Mailing address | 2800 3rd St, Rapid City, SD 57701 |
| Enumerated | March 7, 2019 |
| Last updated | May 14, 2021 |
| Authorized official | Jodi Anderson, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.