NPIMap

Organization Active NPI

Hawkeye Clinic of South Dakota

  • Optometrist
  • Dakota Dunes, SD
National Provider Identifier
1053592394
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
551 Issued in SD
Legal business name
HAWKEYE CLINIC OF SOUTH DAKOTA
Practice address
305 Dakota Dunes Blvd
Dakota Dunes, SD 57049
Phone
(605) 232-6900
Fax
(605) 232-7007
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Tiffany Marie EliasNPI 1396507323
Title
Operations Manager
Phone
(605) 232-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 551 SD Primary

Addresses

Primary practice location

305 Dakota Dunes Blvd
Dakota Dunes, SD 57049

Mailing address

317 Dakota Dunes Blvd Ste J
Dakota Dunes, SD 57049-5341
Phone (605) 232-6900

Other names 1

  • DUNES EYE CONSULTANTS Doing business as

National Provider Directory

National Provider Directory

Locations

317 Dakota Dunes Blvd
Ste J
North Sioux City, SD 57049
Phone (605) 540-4491

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1053592394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 DAKOTA DUNES BLVD STE J",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495341",
            "telephone_number": "605-232-6900",
            "fax_number": "605-232-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 DAKOTA DUNES BLVD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "57049",
            "telephone_number": "605-232-6900",
            "fax_number": "605-232-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKEYE CLINIC OF SOUTH DAKOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "605-232-6900"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUNES EYE CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DUNES EYE CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dakota Dunes, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.