Brink, Tiffany Joy

Brink, Tiffany Joy is an individual health care provider with primary practice located at 2325 W 57Th St , Sioux Falls SD 57108-5046. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Brink, Tiffany Joy can be contacted via phone (605) 275-6100.

Contact Information

Primary practice address
2325 W 57Th St Sioux Falls SD 57108-5046
Phone: (605) 275-6100
Fax: (605) 275-6105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T0568 South Dakota

Profile Details

NPI number 1275527475
LBN Legal business name Brink, Tiffany Joy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Jan 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275527475 NPPES
South Dakota Other 0007147 BLUE CROSS BLUE SHIELD
South Dakota MEDICAID 9203200 BLUE CROSS BLUE SHIELD
South Dakota Other 23017 BLUE CROSS BLUE SHIELD

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