NPIMap

Organization Active NPI

Crouch Vision Clinic

  • Optometrist
  • Sioux Falls, SD
National Provider Identifier
1154586014
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
526 Issued in SD
Legal business name
CROUCH VISION CLINIC
Practice address
5118 W 26TH St
Sioux Falls, SD 57106-3520
Phone
(605) 339-1939
Fax
(605) 330-0252
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Virjean L Fejfar
Title
Insurance & Billing Coordinator
Phone
(605) 339-1939

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 526 SD Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 527 SD

Addresses

Primary practice location

5118 W 26TH St
Sioux Falls, SD 57106-3520

Mailing address

5118 W 26TH St
Sioux Falls, SD 57106-3520
Phone (605) 339-1939

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1154586014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 W 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063520",
            "telephone_number": "605-339-1939",
            "fax_number": "605-330-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5118 W 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063520",
            "telephone_number": "605-339-1939",
            "fax_number": "605-330-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROUCH VISION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "FEJFAR",
        "authorized_official_first_name": "VIRJEAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INSURANCE & BILLING COORDINATOR",
        "authorized_official_telephone_number": "605-339-1939"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "526",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "527",
            "primary": false
        }
    ],
    "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 Jul 21, 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.

Verify at the official NPI Registry.