KATHRYN O HAIVALA, OD PLLC (NPI# 1548874084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548874084 |
| Entity Type | Organization |
| Organization Name | KATHRYN O HAIVALA, OD PLLC |
| Practice Address |
1710 North Ave Spearfish SD 57783-1218 |
| Practice Telephone | 6056428480 |
| Practice Fax Number | 6056428185 |
| Mailing Telephone | 6056428480 |
| Mailing Fax Number | 6056428185 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | KATHRYN O HAIVALA (OWNER) |
| Authorized Official Telephone | 6056428480 |
| Authorized Official Credential | OD |
| Is Organization Subpart | Y |
| Parent Organization Name | KATHRYN O HAIVALA, OD PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9202840 | 05 |
| Other Name | Type Code |
|---|---|
| Spearfish Eye Care Center | Doing Business As Name - Organization |
| Street Address |
1710 NORTH AVE |
| City | SPEARFISH |
| State | SD |
| Zip Code | 57783-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144256587 | Spearfish Eye Care Center | Technician/Technologist | 1710 North Ave, Spearfish, SD 57783-1218 | 2006-06-25 |
| 1457554610 | Michael S Richey, Od PC | Durable Medical Equipment & Medical Supplies | 1710 North Ave, Spearfish, SD 57783-1218 | 2007-06-06 |
| 1992815500 | Michael S Richey | Optometrist | 1710 North Ave, Spearfish, SD 57783 | 2006-08-30 |
| 1477564771 | Kathryn Opbroek Haivala | Optometrist | 1710 North Ave, Spearfish, SD 57783 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386091338 | Acupuncture of The Black Hills, LLC | Acupuncturist | 144 N. Main St., Spearfish, SD 57783 | 2016-05-19 |
| 1568695013 | Krew Enterprises, Inc Bda Comfort Keepers, 490 | Home Health | 119 East Grant Street, Ste 1, Spearfish, SD 57783 | 2009-09-01 |
| 1518193093 | Lorri A. Riley, Dpm PC | Podiatrist | 1410 North Ave #1, Spearfish, SD 57783 | 2009-06-10 |
| 1104065317 | Heather Rae Glasford | Speech-Language Pathologist | 1107 Charles Street, Spearfish, SD 57783 | 2009-02-11 |
| 1861605230 | Justin Bruce Johnson | Chiropractor | 4029 E. Colorado Blvd, Spearfish, SD 57783 | 2007-05-08 |
| 1467670976 | Karin Wood | Counselor | 146 W. Illinois St., Ste A, Spearfish, SD 57783 | 2007-04-22 |
| 1205999315 | Black Hills Counseling Services | Counselor | 146 W Illinois Street, Suite A, Spearfish, SD 57783 | 2006-12-19 |
| 1154489920 | Brooke Melody Hvachovec Thompson | Occupational Therapist | Spearfish Regional Hospital, 1440 N Main Street, Spearfish, SD 57783 | 2006-12-05 |
| 1780758060 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 428 E Colorado Blvd, Spearfish, SD 57783 | 2006-11-20 |
| 1063584423 | Regional Health Physicians Inc | Durable Medical Equipment & Medical Supplies | 1420 N. 10th Street, Spearfish, SD 57783 | 2006-11-14 |
| Find all providers in zip 57783 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918577 | Tru Massage Therapy LLC | Clinic/Center | 6330 S Western Ave Ste 110, Sioux Falls, SD 57108-3416 | 2020-06-29 |
| 1992153225 | Qvidity, LLC | Clinic/Center | 1935 Samco Rd, Ste 106, Rapid City, SD 57702-6223 | 2016-05-26 |
| 1932523644 | Ft Thompson Health Center | Clinic/Center | 1323 Bia Rte #4, Ft. Thompson, SD 57339 | 2014-02-17 |
| 1770850299 | Wanblee Health Center | Clinic/Center | 210 First St., Wanblee, SD 57577-0290 | 2011-11-29 |
| 1386911923 | Dakotahaven, LLC | Clinic/Center | 1513 Orchard Dr, Brookings, SD 57006-3247 | 2011-11-28 |
| 1568622140 | Wanblee Health Center | Clinic/Center | 210 First St, Wanblee, SD 57577-0290 | 2008-06-17 |
| 1780774166 | Groton Chiropractic Clinic, P.C. | Clinic/Center | 1205 North 1st Street, Groton, SD 57445-0199 | 2006-10-13 |
| 1033778451 | Balanced Spine & Wellness, LLC | Clinic/Center | 4900 E 57th St Ste B, Sioux Falls, SD 57108-8705 | 2019-06-10 |
| 1962974915 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702-8529 | 2018-12-31 |
| 1447722491 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702-8529 | 2018-12-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KATHRYN O HAIVALA, OD PLLC.
| 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.