Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Hills Regional Eye Surgery Center, LLC

Organization Family Nurse Practitioner · NPI 1174654081

Black Hills Regional Eye Surgery Center, LLC is a Family Nurse Practitioner in Rapid City, South Dakota. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2800 3rd St
Rapid City, SD 57701-7374
Phone: (605) 341-2000
Fax: (605) 341-0278
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1174654081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodi Anderson — Chief Financial Officer · (605) 341-2000
Other names Black Hills Regional Surgery Anesthesia
NPI enumeratedMarch 9, 2007
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024
Mailing address2800 3rd St, Rapid City, SD 57701-7374

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