DR. MICHAEL SCOTT ELLENDER (NPI# 1245301787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245301787 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SCOTT ELLENDER |
| Credential | O.D. |
| Practice Address |
1601 Mount Rushmore Rd Suite 5 Rapid City SD 57701-4588 |
| Practice Telephone | 6053487401 |
| Practice Fax Number | 6053489773 |
| Mailing Telephone | 6053487401 |
| Mailing Fax Number | 6053489773 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T573 | SD | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9201210 | 05 |
| Street Address |
1601 MOUNT RUSHMORE RD SUITE 5 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-4588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023092988 | Brad Jerome Moriarty | Optometrist | 1601 Mount Rushmore Rd, Suite 5, Rapid City, SD 57701-4588 | 2005-12-05 |
| 1801337845 | Rapid City Medical Supplies | Durable Medical Equipment & Medical Supplies | 1601 Mount Rushmore Rd, Rapid City, SD 57701-4591 | 2017-03-09 |
| 1225338148 | Brad Moriarty Od PC | Optometrist | 1601 Mount Rushmore Rd, Suite 5, Rapid City, SD 57701-4588 | 2010-10-26 |
| 1417028051 | Elizabeth Ann Ellender | Optometrist | 1601 Mount Rushmore Rd, Suite 5, Rapid City, SD 57701-4591 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342515 | Vision Source Rapid City | Optometrist | 825 Columbus St Ste E, Rapid City, SD 57701-4804 | 2020-10-01 |
| 1538673579 | Robert B Wilson PC | Optometrist | 1200 N Lacrosse St Ste 105, Rapid City, SD 57701-6984 | 2017-11-29 |
| 1962755785 | Karie Holloway | Optometrist | 2401 W Main St Ste Boffice3, Rapid City, SD 57702-2405 | 2012-10-17 |
| 1437446440 | Shane Alexander Clark | Optometrist | 5734 Sheridan Lake Rd, Suite 202, Rapid City, SD 57702-8811 | 2011-06-29 |
| 1669779195 | Matthew Keenan Barnett | Optometrist | 409 Kansas City St, Rapid City, SD 57701-3636 | 2011-02-18 |
| 1558670638 | Daniel E Holloway | Optometrist | 2401 W Main St Ste Bofc3, Rapid City, SD 57702-2405 | 2010-10-06 |
| 1689982027 | Allmer Vision Center, PC | Optometrist | 2200 N Maple Ave Unit 252, Rapid City, SD 57701-7882 | 2010-09-20 |
| 1568630085 | M. Scott Ellender, Od and Elizabeth A Ellender, Od, PC | Optometrist | 1601 Mt Rushmore Rd, Unit #5, Rapid City, SD 57701-4588 | 2008-02-19 |
| 1558545152 | Becker & Sorensen, PC | Optometrist | 2626 West Main Street, Suite 4, Rapid City, SD 57702-2496 | 2007-12-19 |
| 1073735759 | Cary S. Feldman | Optometrist | 808 Mount Rushmore Rd, Rapid City, SD 57701-3603 | 2007-05-03 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on DR. MICHAEL SCOTT ELLENDER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.