Organization Active NPI

Amj Enterprises

Doing business as My Eye Candy

  • Optician
  • Sioux Falls, SD
National Provider Identifier
1063769388
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
AMJ ENTERPRISES
Doing business as
My Eye Candy
Practice address
4426 S Technology Dr
Suite E
Sioux Falls, SD 57106-4203
Phone
(605) 759-2389
NPI assigned
Aug 6, 2012
Last updated
Aug 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Anne M Jorgensen, OPTICIANNPI 1790061539
Title
Owner / Optician
Phone
(605) 759-2389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

4426 S Technology Dr
Suite E
Sioux Falls, SD 57106-4203

Mailing address

4426 S Technology Dr
Suite E
Sioux Falls, SD 57106-4203
Phone (605) 759-2389

Other identifiers 1

IdentifierTypeStateIssuer
1790061539OtherNPI

Other names 1

  • My Eye Candy Doing business as

National Provider Directory

National Provider Directory

Locations

4426 S Technology Dr
Ste E
Sioux Falls, SD 57106
Phone (605) 759-2389

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1063769388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 S TECHNOLOGY DR",
            "address_2": "SUITE E",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571064203",
            "telephone_number": "605-759-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4426 S TECHNOLOGY DR",
            "address_2": "SUITE E",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571064203",
            "telephone_number": "605-759-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMJ ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / OPTICIAN",
        "authorized_official_telephone_number": "605-759-2389",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790061539",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Eye Candy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 6, 2012; 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.