Provider Type Icon

WILLCOCKSON EYE ASSOCIATES P.C. NPI 1992802920


NPI Information

NPI: 1992802920
Provider Name: WILLCOCKSON EYE ASSOCIATES, P.C.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 43D2111326

Address:
415 W 3RD ST
YANKTON, SD
ZIP 57078
Phone: (605) 665-9638
Get Directions

WILLCOCKSON EYE ASSOCIATES, P.C. is an ophthalmology in Yankton, SD. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. WILLCOCKSON EYE ASSOCIATES, P.C. NPI is 1992802920. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

415 W 3RD ST
YANKTON, SD
ZIP 57078-201
Phone: (605) 665-9638
Fax: (605) 665-0526

The provider's authorized official is Lee Alan Gass .
The authorized official title is Administrator and has the following contact phone number (605) 665-9638.

The CLIA number assigned to this NPI record is 43D2111326 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/2/2011.


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
1152W00000XOptometristSOUTH DAKOTANo
2332H00000XEyewear SupplierNo
3207W00000XOphthalmology0017SOUTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000121OTHERSOUTH DAKOTASD BLUE SHIELD
20374880001MEDICARE NSC
3NA1115MEDICARE PINNEBRASKA
4S121MEDICARE ID-TYPE UNSPECIFIEDSOUTH DAKOTASD MEDICARE
5CN6245MEDICARE ID-TYPE UNSPECIFIEDNEBRASKANE RAILROAD MEDICARE
6NA1114MEDICARE PINNEBRASKA
7CP7721MEDICARE ID-TYPE UNSPECIFIEDSOUTH DAKOTASD RAILROAD MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.