SANFORD CLINIC


Address: 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743
Phone: 6053289220

SANFORD CLINIC (NPI# 1710919741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710919741
Entity Type Organization
Organization Name SANFORD CLINIC
Other Organization Name SANFORD CLINIC OPTICAL SHOP
Practice Address 1621 S Minnesota Ave
Sioux Falls
SD 57105-1743
Mailing Address Po Box 5074
Sioux Falls
SD 57117-5074
Practice Telephone 6053289220
Practice Fax Number 6053289221
Enumeration Date 2006-07-07
Last Update Date 2020-07-06
Authorized Official Name TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
Authorized Official Telephone 6053288380
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers

Other Provider/Organization Names

Other Name Type Code
Sanford Clinic Optical Shop Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
1621 S Minnesota Ave, Sioux Falls, SD 571051743 6053289220 6053289221

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164069506 Sanford Clinic Clinic/Center 2310 S Marion Rd Ste 140, Sioux Falls, SD 57106-1144 2019-12-04
1457995714 Sanford Clinic Clinic/Center 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 2019-10-30
1356983175 Sanford Clinic Clinic/Center 366 Hillsboro Technology Dr, Deerfield Beach, FL 33441-1836 2019-10-14
1427555002 Sanford Clinic Family Medicine 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 2018-04-10
1396089900 Sanford Clinic Nurse Practitioner 1309 W 17th St Ste 102, Sioux Falls, SD 57104-4663 2012-11-20
1740416395 Sanford Clinic Pediatrics 2502 W. Elk Ave., Duncan, OK 73533 2009-06-09
1861685166 Sanford Clinic Radiology 891 14th Ave Ne, Watertown, SD 57201 2007-08-21
1366635740 Sanford Clinic Family Medicine 433 Kansas Ave Se, Huron, SD 57350-2561 2007-08-20
1922123108 Sanford Clinic Clinic/Center 703 S Broadway, Watertown, SD 57201 2007-03-20
1285738997 Sanford Clinic Obstetrics & Gynecology 1201 S Euclid Ave Ste 201, Sioux Falls, SD 57105-0434 2006-09-12

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SANFORD CLINIC 1305 W 18th St, Sioux Falls, SD 57105-0401
Colorado Business Entities Sanford Clinic 1305 W 18th St, Sioux Falls, SD 57105
Iowa Business Entities SANFORD CLINIC 1305 W 18th St, Sioux Falls, SD 57105
Oklahoma Business Registrations SANFORD CLINIC 1305 W 18th St, Sioux Falls, SD 57105
Iowa Business Entities SANFORD CLINIC NORTH 801 Broadway North, Fargo, ND 58122
System for Award Management (SAM) Entities SANFORD CLINIC NORTH FARGO 801 Broadway N, Fargo, ND 58102-3641

Office Location

Street Address 1621 S MINNESOTA AVE
City SIOUX FALLS
State SD
Zip Code 57105-1743

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942253919 Ken D Augspurger Ophthalmology 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 2006-05-18
1528628062 Shelby K Anderson Optometrist 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 2019-06-17
1629472220 Kelly Lauck Counselor 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 2014-10-10
1215279104 Kimberly D Tran Ophthalmology 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 2013-03-19
1508129586 Angela J Merron Optometrist 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 2012-06-24
1619233806 Andrew James Ollerton Ophthalmology 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 2012-04-02
1699066431 Aarika Menees Ophthalmology 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 2011-04-27
1588788160 Rachelle F. Broveleit Physician Assistant 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 2007-03-19
1548396518 Steven D. Cochran Psychiatry & Neurology 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 2007-02-26
1699818013 Shane D. Hartman Optometrist 1621 S Minnesota Ave, Sioux Falls, SD 57105-1743 2007-02-15
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1063769388 Amj Enterprises Technician/Technologist 4426 S Technology Dr, Suite E, Sioux Falls, SD 57106-4203 2012-08-06
1376902510 Wal-mart Stores, Inc. Technician/Technologist 7821 S Minnesota Ave, Sioux Falls, SD 57108 2016-02-16
1235212796 Wal-mart Stores, Inc. Technician/Technologist 3209 S Louise Ave, Sioux Falls, SD 57106-0704 2006-10-20
1124109194 Wal-mart Stores, Inc. Technician/Technologist 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 2006-10-18
1639250038 Sam's Club Optical Technician/Technologist 3201 S Louise Ave, Sioux Falls, SD 57106-0704 2006-10-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164911400 J & J Optical Technician/Technologist 2120 Lazelle St, Sturgis, SD 57785-1316 2018-05-02
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
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
1518035187 Jubal S Pillen Technician/Technologist 1020 Junction Ave, Sturgis, SD 57785-1632 2006-12-01
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
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Competitor

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City SIOUX FALLS
Zip Code 57105

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Dataset Information

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.

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