Active NPI
Sioux Optical
- Eyewear Supplier
- Sioux Falls, SD
National Provider Identifier
1033116355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- NONE REQUIRED
- Legal business name
- SIOUX OPTICAL
- Practice address
- 1701 S Minnesota Ave
Sioux Falls, SD 57105-1721 - Phone
- (605) 334-7725
- Fax
- (605) 334-8247
- NPI assigned
- Jul 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas C White, MD
- Title
- General Partner
- Phone
- (605) 334-7725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NONE REQUIRED | SD | Primary |
Addresses
Primary practice location
1701 S Minnesota Ave
Sioux Falls, SD 57105-1721
Mailing address
1701 S Minnesota Ave
Sioux Falls, SD 57105-1721
Phone (605) 334-7725
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 077392 | Other | SD | WELLMARK FEDERAL EMPLOYEE |
| 9280230 | Medicaid | SD | |
| 077392 | Other | SD | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
1701 S Minnesota Ave
Ste 2
Sioux Falls, SD 57105
Phone (605) 334-7725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1033116355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 S MINNESOTA AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051721",
"telephone_number": "605-334-7725",
"fax_number": "605-334-8247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S MINNESOTA AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051721",
"telephone_number": "605-334-7725",
"fax_number": "605-334-8247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIOUX OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-01",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "605-334-7725",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "SD",
"license": "NONE REQUIRED",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK FEDERAL EMPLOYEE",
"identifier": "077392",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9280230",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "077392",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
- Sioux Falls Vamc
- Sioux Falls Vamc
- Sioux Falls Wellness Counseling, Inc.
- Sioux Falls Wheelchair Transit Plus Inc. (Transit Plus)
- Sioux Falls Wheelchair Transportation Service, Inc.
- Sioux River Mental Health Services LLC
- Sioux Spine and Sport Prof.L.L.C.
- Sioux Support Services LLC
- Sioux Valley Clinic (Sioux Valley Lung/Thoracic Tumor Clinic)
- Sioux Valley Heart Partners
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.