BRAD MORIARTY OD PC
NPI 1225338148
Optometrist - Corneal and Contact Management in Rapid City, SD
- Organization
- Optometrist
- Corneal and Contact Management
About BRAD MORIARTY OD PC
This page provides the complete NPI Profile along with additional information for Brad Moriarty Od Pc, a provider established in Rapid City, South Dakota operating as a Optometrist, focusing in corneal and contact management . The healthcare provider is registered in the NPI registry with number 1225338148 assigned on October 2010. The practitioner's primary taxonomy code is 152WC0802X with license number T484 (SD). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Brad Jerome Moriarty Od (President)
- NPI
- 1225338148 Verify this NPI
- Provider Name
- BRAD MORIARTY OD PC
- Entity Type
- Organization
- Location Address
- 1601 MOUNT RUSHMORE RD SUITE 5 RAPID CITY, SD 57701
- Location Phone
- (605) 343-4164
- Location Fax
- (605) 348-9773
- Mailing Address
- 1601 MOUNT RUSHMORE RD SUITE 5 RAPID CITY, SD 57701
- Mailing Phone
- (605) 343-4164
- Mailing Fax
- (605) 348-9773
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-26-2010
- Last Update Date
- 04-27-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist Corneal and Contact Management
- Taxonomy Code
- 152WC0802X
- Type
- Eye and Vision Services Providers
- License No.
- T484
- License State
- SD
- Taxonomy Description
- The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| S104430 | OTHER (01) | MEDICARE PTAN | |
| U21623 | MEDICARE UPIN (02) | ||
| 9202310 | MEDICAID (05) | SD | |
| S104430 | MEDICARE PIN (08) |
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
RAPID CITY, SD 57701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225338148, enumerated as an "organization" on October 26, 2010.
The provider is located at 1601 MOUNT RUSHMORE RD SUITE 5 RAPID CITY, SD 57701 and the phone number is (605) 343-4164.
Optometrist with taxonomy code 152WC0802X and a focus in Corneal and Contact Management.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
