DR. SCOTT KENNEDY (NPI# 1871561795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871561795 |
| Entity Type | Individual |
| Full Name | DR. SCOTT KENNEDY |
| Practice Address |
1230 North Ave Suite 3 Spearfish SD 57783-3028 |
| Mailing Address |
809 University St Spearfish SD 57783-1821 |
| Practice Telephone | 6056424656 |
| Practice Fax Number | 6057225622 |
| Mailing Telephone | 6057171100 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2013-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 592 | SD | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9201370 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669954491 | Scott H Kennedy | Pharmacist | 1481 W 10th St Fl 7, Indianapolis, IN 46202-2803 | 2018-08-29 |
| 1780123356 | Scott Kennedy | Dentist | 609 Elm Avenue, Waco, TX 76704 | 2017-02-15 |
| 1922381359 | Scott Kennedy | Pharmacist | 17538 E Baker Pl, Aurora, CO 80013-4182 | 2011-09-22 |
| 1245318351 | Scott Herbert Kennedy | Internal Medicine | 3217 Coventry N, Safety Harbor, FL 34695-4808 | 2006-11-02 |
| 1255318614 | Scott Aaron Kennedy | Chiropractor | 5690 Watermelon Rd Ste 300, Northport, AL 35473 | 2005-12-28 |
| 1902881691 | Scott Wilmot Kennedy | Nurse Practitioner | 5050 Central Sarasota Pkwy, #207, Sarasota, FL 34238-7600 | 2005-12-14 |
| 1730684002 | Scott Frederick Kennedy | Social Worker | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2018-03-28 |
| 1861933566 | Scott Crane Kennedy | Case Manager/Care Coordinator | 2080 S E St, San Bernardino, CA 92408-2773 | 2017-03-14 |
| 1578726410 | Scott Thomas Olcott Kennedy | Radiology | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2008-07-09 |
| 1770772402 | Scott M Kennedy | Family Medicine | 633 Sunset Ln, Suite F, Culpeper, VA 22701-3942 | 2007-10-18 |
| Street Address |
1230 NORTH AVE SUITE 3 |
| City | SPEARFISH |
| State | SD |
| Zip Code | 57783-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982671145 | A B Hauge | Optometrist | 1230 North Ave, Suite #3, Spearfish, SD 57783-3028 | 2006-03-07 |
| 1689960460 | Mdw Solutions, LLC | Chiropractor | 1230 North Ave, 7, Spearfish, SD 57783-3028 | 2011-06-21 |
| 1346362373 | Lifetime Eyecare | Optometrist | 1230 North Ave, Suite #3, Spearfish, SD 57783-3028 | 2007-04-03 |
| 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 | 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 |
|---|---|---|---|---|
| 1457639080 | Jessica R Czerny | Optometrist | 1236 North Ave, Spearfish, SD 57783-1533 | 2011-08-01 |
| 1568798841 | Antwan Percy Randolph | Optometrist | 2825 1st Ave Ste 1, Spearfish, SD 57783-3261 | 2009-10-21 |
| 1003950122 | Family Optical PC | Optometrist | 1410 North Avenue, Suite 1, Spearfish, SD 57783-1574 | 2007-02-20 |
| 1730133422 | Robert G Goodrich | Optometrist | 830 N Main St, Suite 1, Spearfish, SD 57783-2185 | 2006-05-19 |
| 1982671145 | A B Hauge | Optometrist | 1230 North Ave, Suite #3, Spearfish, SD 57783-3028 | 2006-03-07 |
| 1609855980 | Tammy Kay Hersch | Optometrist | 1420 North Ave, Suite 1, Spearfish, SD 57783-1543 | 2006-01-13 |
| 1659926160 | Jonathan Paul Nebelsick | Optometrist | 1236 North Ave, Spearfish, SD 57783-1533 | 2019-08-02 |
| 1225488950 | Eryn Caudill | Optometrist | 1420 North Ave, Spearfish, SD 57783-1541 | 2016-06-14 |
| 1932479474 | Mountain Valley Vision Center | Optometrist | 1236 North Ave, Spearfish, SD 57783-1533 | 2011-12-30 |
| 1154566149 | Robert G Goodrich Od PC | Optometrist | 830 N Main St, Suite 1, Spearfish, SD 57783-2185 | 2008-12-05 |
| Find all providers in SPEARFISH | ||||
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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.