SIOUX OPTICAL NPI 1033116355

NPI Information

NPI: 1033116355
Provider Name: SIOUX OPTICAL
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1701 S MINNESOTA AVE
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 334-7725
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SIOUX OPTICAL is an eyewear supplier in Sioux Falls, SD. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SIOUX OPTICAL NPI is 1033116355. The provider is registered as an organization entity type.

The provider's business location address is:

1701 S MINNESOTA AVE
SIOUX FALLS, SD
ZIP 57105-721
Phone: (605) 334-7725
Fax: (605) 334-8247

The provider's authorized official is Thomas C White .
The authorized official title is General Partner and has the following contact phone number (605) 334-7725.

The enumeration date for this NPI number is 7/1/2005 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		NONE REQUIRED	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0522960001	MEDICARE NSC	MINNESOTA
2	0522960001	MEDICARE NSC	SOUTH DAKOTA
3	=========	OTHER	SOUTH DAKOTA	CIGNA HEALTHCARE
4	9280230	MEDICAID	SOUTH DAKOTA
5	077392	OTHER	SOUTH DAKOTA	BLUE CROSS BLUE SHIELD
6	077392	OTHER	SOUTH DAKOTA	WELLMARK FEDERAL EMPLOYEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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