Kollis-Young, Lisa M

Kollis-Young, Lisa M is an individual health care provider with primary practice located at 5129 S Western Ave , Sioux Falls SD 57108. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kollis-Young, Lisa M can be contacted via phone (605) 332-2231.

Contact Information

Primary practice address
5129 S Western Ave Sioux Falls SD 57108
Phone: (605) 332-2231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 540 South Dakota

Profile Details

NPI number 1609869262
LBN Legal business name Kollis-Young, Lisa M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Aug 26th, 2022 - 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 1609869262 NPPES
South Dakota MEDICAID 9203043

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