MOUNTAIN VALLEY VISION CENTER
NPI 1932479474
Optometrist in Spearfish, SD

Active since December 30, 2011
1236 NORTH AVE, SPEARFISH, SD 57783(605) 642-2645 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mountain Valley Vision Center NPPES

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

MOUNTAIN VALLEY VISION CENTER (NPI 1932479474) is a healthcare organization registered as an optometrist in Spearfish, South Dakota and active in the NPI registry since December 2011. The organization lists David Czerny, Owner, as its authorized official.

NPPES Registry Identity

NPI1932479474
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMOUNTAIN VALLEY VISION CENTER
Location Address1236 NORTH AVESpearfish, SD 57783-1533
Mailing Address1236 North AveSpearfish, SD 57783-1533 · (605) 642-2645
Organization SubpartNo
Authorized OfficialDavid CzernyOwner · (605) 390-7624
Enumeration DateDecember 30, 2011
Last NPPES UpdateJune 13, 2012
✔ NPI 1932479474 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.
1236 NORTH AVE, Spearfish, SD 57783

Other Identifiers 5

Medicare NSC6684060001SD
Medicaid9204090SD
Medicare PINS105256SD
Medicare PINS105191SD
Medicare PINS105815SD

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain Valley Vision Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth DakotaEnrollment IDO20120314000427Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mountain Valley Vision Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Optometry
NPI 1083296669
1236 NORTH AVE
Spearfish, SD 57783
(605) 642-2645
✔ PECOSSame address
Optometry
NPI 1235417148
88 CHARLES ST
Deadwood, SD 57732
(605) 578-1761
✔ PECOS11 mi
Optometry
NPI 1447547021
113 COMANCHE RD
Fort Meade, SD 57741
(605) 347-2511
✔ PECOS20 mi
Optometry
NPI 1750861886
139 W 3RD ST
Chadron, NE 69337
(308) 432-2200
✔ PECOS✔ Accepts Medicare123 mi

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

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Mountain Valley Vision Center carries, from the Medicare DMEPOS supplier directory.

Mountain Valley Vision Center

DMEPOS supplier · Spearfish, SD
⋮

Does not accept Medicare assignment

Mountain Valley Vision Center has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20523263
Medicare Participant SinceJanuary 1, 2012
Supplier Location1236 North AveSpearfish, SD 57783
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Mountain Valley Vision Center's NPI number?

The NPI number for Mountain Valley Vision Center is 1932479474. It was assigned to this organization in the NPPES registry on December 30, 2011.

Where is Mountain Valley Vision Center located?

Mountain Valley Vision Center is located at 1236 North Ave, Spearfish, SD 57783. The listed phone number is (605) 642-2645.

What is Mountain Valley Vision Center's specialty?

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

Is Mountain Valley Vision Center enrolled in Medicare?

Yes. Mountain Valley Vision Center is registered in the Medicare PECOS enrollment system.

When is Mountain Valley Vision Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Dakota, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mountain Valley Vision Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Mountain Valley Vision Center. 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.

Does Mountain Valley Vision Center accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Mountain Valley Vision Center does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Mountain Valley Vision Center accept?

Health plans from Anthem Blue Cross and Blue Shield, Avera Health Plans, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Mountain Valley Vision Center 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 Mountain Valley Vision Center was last updated on June 13, 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.