Organization Active NPI

Sivesind, Tims & Clarke, Prof. L.L.C.

  • Optometrist
  • Sioux Falls, SD
National Provider Identifier
1003305772
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SIVESIND, TIMS & CLARKE, PROF. L.L.C.
Practice address
2210 W 69TH St Ste 160
Sioux Falls, SD 57108-5614
Phone
(605) 331-2020
Fax
(605) 638-9649
NPI assigned
May 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Josh Tims, OD
Title
Owner/Optometrist
Phone
(605) 400-3939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2210 W 69TH St Ste 160
Sioux Falls, SD 57108-5614

Mailing address

2210 W 69TH St Ste 160
Sioux Falls, SD 57108-5614
Phone (605) 331-2020

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1003305772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 W 69TH ST STE 160",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085614",
            "telephone_number": "605-331-2020",
            "fax_number": "605-638-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 W 69TH ST STE 160",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085614",
            "telephone_number": "605-331-2020",
            "fax_number": "605-638-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIVESIND, TIMS & CLARKE, PROF. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "TIMS",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "605-400-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.