MR. JUBAL S PILLEN (NPI# 1518035187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518035187 |
| Entity Type | Individual |
| Full Name | MR. JUBAL S PILLEN |
| Credential | OPTICIAN |
| Practice Address |
1020 Junction Ave Sturgis SD 57785-1632 |
| Practice Telephone | 6053479117 |
| Practice Fax Number | 6053478652 |
| Mailing Telephone | 6053479117 |
| Mailing Fax Number | 6053478652 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
NA | SD | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9203230 | 05 |
| Street Address |
1020 JUNCTION AVE |
| City | STURGIS |
| State | SD |
| Zip Code | 57785-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211179 | Barbara Samson | Specialist | 1807 William Street, Sturgis, SD 57785 | 2016-09-01 |
| 1144776345 | Mary Wood-fossen | Specialist | 1807 Williams, Sturgis, SD 57785 | 2016-08-28 |
| 1851784508 | Kara Graveman | Counselor | 1807 Williams St., Sturgis, SD 57785 | 2015-03-05 |
| 1972674307 | Meade School District 46 1 | Local Education Agency (LEA) | 1230 Douglas St, Sturgis, SD 57785 | 2006-11-09 |
| 1962571414 | Dakota Hills Family Practice | Durable Medical Equipment & Medical Supplies | 1010 Ballpark Rd Suite 3, Sturgis, SD 57785 | 2006-11-07 |
| 1639130859 | Jerrid W. Goebel | Chiropractor | 824 1st Street, Sturgis, SD 57785 | 2006-03-29 |
| 1821092818 | James D Kienitz | Social Worker | 890 Lazelle St, Sturgis, SD 57785 | 2005-06-08 |
| 1851847065 | Heather Ochocki | Specialist | 1807 Williams St, Sturgis, SD 57785 | 2016-08-28 |
| 1619344405 | Regional Health Network, Inc. | Dietitian, Registered | 2140 Junction Ave, Sturgis, SD 57785 | 2015-08-27 |
| 1427440692 | Action for The Betterment of The Community | Community/Behavioral Health | 1807 Williams St, Sturgis, SD 57785 | 2015-02-25 |
| Find all providers in zip 57785 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164911400 | J & J Optical | Technician/Technologist | 2120 Lazelle St, Sturgis, SD 57785-1316 | 2018-05-02 |
| 1336221266 | Wal-mart Stores East, Lp | Technician/Technologist | 1500 S Centerville Rd, Sturgis, MI 49091-8245 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568879419 | Wal-mart Stores, Inc. | Technician/Technologist | 5200 W 60th Street N, Sioux Falls, SD 57107-6504 | 2014-07-11 |
| 1700136041 | W-j Optical | Technician/Technologist | 2101 Broadway Ave, Yankton, SD 57078-1607 | 2012-09-13 |
| 1205184249 | Wal-mart Stores Inc | Technician/Technologist | 100 E Stumer Rd, Rapid City, SD 57701-6417 | 2012-08-23 |
| 1063769388 | Amj Enterprises | Technician/Technologist | 4426 S Technology Dr, Suite E, Sioux Falls, SD 57106-4203 | 2012-08-06 |
| 1437415148 | Carla J Mcgregor | Technician/Technologist | 916 9th Ave Se, Watertown, SD 57201-5224 | 2012-04-06 |
| 1194029041 | Sams West Inc | Technician/Technologist | 1020 N Lacrosse St, Rapid City, SD 57701 | 2011-01-07 |
| 1043482300 | Kathryn A Thomas | Technician/Technologist | 211 E Havens Ave, Mitchell, SD 57301-4402 | 2008-03-27 |
| 1841324027 | Donald George Woeltge | Technician/Technologist | 2118 N Maple Ave, Rapid City, SD 57701-7813 | 2007-03-16 |
| 1376611160 | Gary Pillen | Technician/Technologist | 501 Kansas City St, Rapid City, SD 57701-3673 | 2006-12-01 |
| 1063588374 | The Optical Shop Inc. | Technician/Technologist | 112 22nd Ave S, Brookings, SD 57006-2600 | 2006-11-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JUBAL S PILLEN.
| 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.