Active NPI
Sioux City Optometric Center, P C
- Optometrist
- Sioux City, IA
National Provider Identifier
1255590634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1553
- Legal business name
- SIOUX CITY OPTOMETRIC CENTER, P C
- Practice address
- 600 4TH St
Suite 500
Sioux City, IA 51101-1750 - Phone
- (712) 252-4325
- NPI assigned
- Jun 2, 2008
- Last updated
- Jun 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven E Marsh, O.D.
- Title
- President
- Phone
- (712) 252-4325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1553 | IA | Primary |
Addresses
Primary practice location
600 4TH St
Suite 500
Sioux City, IA 51101-1750
Mailing address
600 4TH St
Suite 500
Sioux City, IA 51101-1750
Phone (712) 252-4325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090126 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
600 4th St
Ste 500
Sioux City, IA 51101
Phone (712) 252-4325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212364800000",
"number": "1255590634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 4TH ST",
"address_2": "SUITE 500",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011750",
"telephone_number": "712-252-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 4TH ST",
"address_2": "SUITE 500",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011750",
"telephone_number": "712-252-4325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIOUX CITY OPTOMETRIC CENTER, P C",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A",
"authorized_official_last_name": "MARSH",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "712-252-4325",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "1553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0090126",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
- Sioux City Allergy & Asthma Associates, PC
- Sioux City Community School District
- Sioux City Family Dentistry
- Sioux City Healthcare, LLC (Touchstone Healthcare Community)
- Sioux City Hospitalist Group, LLC
- Sioux City Physical Therapy PC (Sioux City Physical Therapy)
- Siouxland Adult Medicine, PLLC
- Siouxland Aging Services Inc.
- Siouxland Community Health Center (Siouxland Community Health Riverside)
- Siouxland Community Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.