SIOUX OPTICAL (NPI# 1033116355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033116355 |
| Entity Type | Organization |
| Organization Name | SIOUX OPTICAL |
| Practice Address |
1701 S Minnesota Ave Sioux Falls SD 57105-1721 |
| Practice Telephone | 6053347725 |
| Practice Fax Number | 6053348247 |
| Mailing Telephone | 6053347725 |
| Mailing Fax Number | 6053348247 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | THOMAS C WHITE (GENERAL PARTNER) |
| Authorized Official Telephone | 6053347725 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | NONE REQUIRED | SD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | WELLMARK FEDERAL EMPLOYEE | 077392 | 01 |
| SD | BLUE CROSS BLUE SHIELD | 077392 | 01 |
| SD | 9280230 | 05 |
| Street Address |
1701 S MINNESOTA AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055896 | Thomas Clement White | Ophthalmology | 1701 S Minnesota Ave, Sioux Falls, SD 57105-1751 | 2005-06-30 |
| 1780780015 | Peter H Morse | Ophthalmology | 1701 S Minnesota Ave, Sioux Falls, SD 57105 | 2006-09-15 |
| 1851369763 | Great Plains Eye Clinic Ltd | Ophthalmology | 1701 S Minnesota Ave, Sioux Falls, SD 57105-1751 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457989006 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3330 E 10th St, Sioux Falls, SD 57103-2107 | 2020-03-30 |
| 1780082628 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3501 W 41st St Ste A, Sioux Falls, SD 57106-0799 | 2014-12-09 |
| 1679850291 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 850 W Empire Mall, Sioux Falls, SD 57106-6512 | 2011-11-10 |
| 1881911964 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 3400 Empire Mall, Sioux Falls, SD 57106-0720 | 2010-04-28 |
| 1518158815 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 3109 W 41st St Ste 115, Sioux Falls, SD 57105-8142 | 2007-08-05 |
| 1255486346 | Tkc Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 2510 S Louise Ave, Sioux Falls, SD 57106-4331 | 2007-01-25 |
| 1518012343 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 510 W Empire Mall, Sioux Falls, SD 57106 | 2007-01-24 |
| 1720177801 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 4001 West 41st Street, Suite 952, Sioux Falls, SD 57106 | 2006-10-12 |
| 1073622924 | Precision Vision Inc | Eyewear Supplier (Equipment, not the service) | 1850 W Empire Mall, Sioux Falls, SD 57106-6522 | 2006-08-30 |
| 1235248113 | Precision Vision, Inc | Eyewear Supplier (Equipment, not the service) | 1616 S Sycamore Ave, Sioux Falls, SD 57110-4204 | 2006-08-30 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
Please comment or provide details below to improve the information on SIOUX OPTICAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.