Sioux Optical

LBN: Sioux Optical
Sioux Optical is an health care organization with primary practice located at 1701 S Minnesota Ave , Sioux Falls SD 57105-1721. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Sioux Optical can be contacted via phone (605) 334-7725, or through White, Thomas C via phone (605) 334-7725.

Contact Information

Primary practice address
1701 S Minnesota Ave Sioux Falls SD 57105-1721
Phone: (605) 334-7725
Fax: (605) 334-8247
Website:
Map and Directions
Authorized official contact:
Name: White, Thomas C Doctor of Medicine (MD)
Phone: (605) 334-7725

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X NONE REQUIRED South Dakota

Profile Details

NPI number 1033116355
LBN Legal business name Sioux Optical
DBA Doing business as
Authorized official White, Thomas C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2005
Last updated Apr 20th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033116355 NPPES
South Dakota Other 077392 WELLMARK FEDERAL EMPLOYEE
South Dakota MEDICAID 9280230 WELLMARK FEDERAL EMPLOYEE
South Dakota Other 077392 WELLMARK FEDERAL EMPLOYEE

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