DEADWOOD EYE CARE LLC
NPI 1003168980
Optometrist in Deadwood, SD

Q: What is Deadwood Eye Care LLC's NPI number?

The NPI number for Deadwood Eye Care LLC is 1003168980. It was assigned to this organization in the NPPES registry on October 3, 2012.

Q: What is Deadwood Eye Care LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since October 03, 2012

88 CHARLES ST, DEADWOOD, SD 57732(605) 578-1761 Get Directions Write a Review

NPPES record last updated: October 3, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Deadwood Eye Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEADWOOD EYE CARE LLC (NPI 1003168980) is a healthcare organization registered as an optometrist in Deadwood, South Dakota and active in the NPI registry since October 2012. The organization lists David Czerny, Owner, as its authorized official.

NPPES Registry Identity

NPI1003168980

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDEADWOOD EYE CARE LLC

Location Address88 CHARLES STDeadwood, SD 57732-1303

Mailing Address88 Charles StDeadwood, SD 57732-1303 · (605) 578-1761

Phone(605) 578-1761

Organization SubpartNo

Authorized OfficialDavid CzernyOwner · (605) 578-1761

Enumeration DateOctober 3, 2012

✔ NPI 1003168980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in SD · 673

Definition

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.

88 CHARLES ST, Deadwood, SD 57732

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deadwood Eye Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Deadwood Eye Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

David Czerny, O.D.

Optometry

NPI 1235417148

88 CHARLES ST
Deadwood, SD 57732

(605) 578-1761

✔ PECOSSame address

Elaine Petry, O.D.

Optometry

NPI 1083296669

1236 NORTH AVE
Spearfish, SD 57783

(605) 642-2645

✔ PECOS11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deadwood Eye Care LLC's NPI number?

The NPI number for Deadwood Eye Care LLC is 1003168980. It was assigned to this organization in the NPPES registry on October 3, 2012.

Where is Deadwood Eye Care LLC located?

Deadwood Eye Care LLC is located at 88 Charles St, Deadwood, SD 57732. The listed phone number is (605) 578-1761.

What is Deadwood Eye Care LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Deadwood Eye Care LLC enrolled in Medicare?

Yes. Deadwood Eye Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deadwood Eye Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Deadwood Eye Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Deadwood Eye Care LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Deadwood Eye Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deadwood Eye Care LLC was last updated on October 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.