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

Dr. Elaine Victoria Petry, OD

Individual provider Optometrist · NPI 1083296669

Dr. Elaine Victoria Petry, OD is an Optometry in Spearfish, South Dakota. Qualified in 2021, 5 years ago. Practices with Mountain Valley Vision Center, a 2-clinician group and works from 2 locations. Licensed in South Dakota.

Years since qualifying
5
Licensed in
SD
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1236 N Ave
Spearfish, SD 57783-1533
Phone: (605) 642-2645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 88 Charles St, Deadwood, SD 57732-1303 — (605) 578-1761

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 785 (SD)

Record details

NPI number1083296669
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 23, 2021
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mountain Valley Vision Center — 2 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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