Organization Active NPI

TKC Optical, Inc.

  • Eyewear Supplier
  • Sioux Falls, SD
National Provider Identifier
1255486346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
51-002 Issued in SD
Legal business name
TKC OPTICAL, INC.
Practice address
2510 S Louise Ave
Sioux Falls, SD 57106-4331
Phone
(605) 361-1882
Fax
(605) 361-5011
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Steve Conley
Title
President
Phone
(712) 252-1519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 51-002 SD Primary

Addresses

Primary practice location

2510 S Louise Ave
Sioux Falls, SD 57106-4331

Mailing address

229 4TH St
Sioux City, IA 51101-1401
Phone (712) 252-1519

Other identifiers 7

IdentifierTypeStateIssuer
121515OtherEYEMED
2100372OtherMEDICA
21518OtherSPECTERA
0070013OtherSDBCBS
920085OtherDAKOTA CARE
19006OtherAVESIS
9280080MedicaidSD

Other names 1

  • Exact Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

2510 S Louise Ave
Sioux Falls, SD 57106
Phone (605) 361-1882

Practitioners & affiliated clinicians

Practitioners 7

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255486346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 4TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011401",
            "telephone_number": "712-252-1519",
            "fax_number": "712-252-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S LOUISE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571064331",
            "telephone_number": "605-361-1882",
            "fax_number": "605-361-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKC OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-252-1519",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "SD",
            "license": "51-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "121515",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2100372",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "21518",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0070013",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA CARE",
            "identifier": "920085",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "19006",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9280080",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exact Eye Care",
            "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 22, 2020; 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.