GARY PILLEN (NPI# 1376611160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376611160 |
Entity Type | Individual |
Full Name | GARY PILLEN |
Practice Address |
501 Kansas City St Rapid City SD 57701-3673 |
Practice Telephone | 6053482323 |
Mailing Telephone | 6053482323 |
Enumeration Date | 2006-12-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | 9281160 | 05 |
Street Address |
501 KANSAS CITY ST |
City | RAPID CITY |
State | SD |
Zip Code | 57701-3673 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356771125 | Holloway Vision Care, LLC | Optometrist | 501 Kansas City St, Rapid City, SD 57701-3673 | 2013-11-15 |
1578892378 | Clousing Eye Care LLC | Optometrist | 501 Kansas City St, Rapid City, SD 57701-3673 | 2009-12-08 |
1467502518 | Randall Lee Edwards | Optometrist | 501 Kansas City St, Rapid City, SD 57701-3673 | 2007-01-11 |
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 | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205184249 | Wal-mart Stores Inc | Technician/Technologist | 100 E Stumer Rd, Rapid City, SD 57701-6417 | 2012-08-23 |
1194029041 | Sams West Inc | Technician/Technologist | 1020 N Lacrosse St, Rapid City, SD 57701 | 2011-01-07 |
1841324027 | Donald George Woeltge | Technician/Technologist | 2118 N Maple Ave, Rapid City, SD 57701-7813 | 2007-03-16 |
1497008221 | Donna Marie Gilbert | Technician/Technologist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2012-10-17 |
1689687683 | Optical Works Inc | Technician/Technologist | 2800 3rd St, Rapid City, SD 57701-7374 | 2006-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164911400 | J & J Optical | Technician/Technologist | 2120 Lazelle St, Sturgis, SD 57785-1316 | 2018-05-02 |
1568879419 | Wal-mart Stores, Inc. | Technician/Technologist | 5200 W 60th Street N, Sioux Falls, SD 57107-6504 | 2014-07-11 |
1700136041 | W-j Optical | Technician/Technologist | 2101 Broadway Ave, Yankton, SD 57078-1607 | 2012-09-13 |
1063769388 | Amj Enterprises | Technician/Technologist | 4426 S Technology Dr, Suite E, Sioux Falls, SD 57106-4203 | 2012-08-06 |
1437415148 | Carla J Mcgregor | Technician/Technologist | 916 9th Ave Se, Watertown, SD 57201-5224 | 2012-04-06 |
1043482300 | Kathryn A Thomas | Technician/Technologist | 211 E Havens Ave, Mitchell, SD 57301-4402 | 2008-03-27 |
1518035187 | Jubal S Pillen | Technician/Technologist | 1020 Junction Ave, Sturgis, SD 57785-1632 | 2006-12-01 |
1063588374 | The Optical Shop Inc. | Technician/Technologist | 112 22nd Ave S, Brookings, SD 57006-2600 | 2006-11-28 |
1225054828 | Steve A Jewett | Technician/Technologist | 1830 5th Ave, Belle Fourche, SD 57717-1405 | 2006-07-15 |
1144256587 | Spearfish Eye Care Center | Technician/Technologist | 1710 North Ave, Spearfish, SD 57783-1218 | 2006-06-25 |
Find all providers with the same taxonomy |
City | RAPID CITY |
Zip Code | 57701 |
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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.