Organization Active NPI

Precision Vision, Inc

  • Eyewear Supplier
  • Sioux Falls, SD
National Provider Identifier
1235248113
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PRECISION VISION, INC
Doing business as
pearle vision
Practice address
1616 S Sycamore Ave
Sioux Falls, SD 57110-4204
Phone
(605) 336-8800
Fax
(605) 336-0187
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Mr. Kevin S Lehr, A.B.O.C.
Title
Owner
Phone
(605) 336-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1616 S Sycamore Ave
Sioux Falls, SD 57110-4204

Mailing address

502 S Foss Ave
Sioux Falls, SD 57110-3051
Phone (605) 336-8800

Other identifiers 1

IdentifierTypeStateIssuer
9281272MedicaidSD

Other names 1

  • pearle vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930002380 SD DME Supplier - Optician 1951420181 Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

Locations

1616 S Sycamore Ave
Sioux Falls, SD 57110
Phone (605) 331-4273

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1235248113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S FOSS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571103051",
            "telephone_number": "605-336-8800",
            "fax_number": "605-336-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 S SYCAMORE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571104204",
            "telephone_number": "605-336-8800",
            "fax_number": "605-336-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION VISION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "LEHR",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-336-8800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "A.B.O.C."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9281272",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pearle vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "pearle vision",
            "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 Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.