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SANFORD CLINIC NPI 1770121907


NPI Information

NPI: 1770121907
Provider Name: SANFORD CLINIC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 43D2039643

Address:
2310 S MARION RD STE 140
SIOUX FALLS, SD
ZIP 57106
Phone: (605) 328-6690
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SANFORD CLINIC 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. SANFORD CLINIC NPI is 1770121907. The provider is registered as an organization entity type.

The provider's business location address is:

2310 S MARION RD STE 140
SIOUX FALLS, SD
ZIP 57106-144
Phone: (605) 328-6690
Fax: (605) 312-9883

The provider's authorized official is Tony Lee Morrison .
The authorized official title is Sr. Executive Director and has the following contact phone number (605) 328-8380.

The CLIA number assigned to this NPI record is 43D2039643 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/18/2019 and was last updated on 12/18/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

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

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