The Eye Doctors PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

208 Issued in SD

Legal business name

THE EYE DOCTORS PC

Practice address

5116 S Western Ave
Sioux Falls, SD 57108-2677

Phone

(605) 338-7104

Fax

(605) 575-3880

NPI assigned

Aug 2, 2005

Last updated

Sep 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip G Sietstra, ODNPI 1376544833

Title

Optometrist

Phone

(605) 338-7104

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SD2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

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.

• Jeannie Maureen Dehne, OPTOMETRIST

  • Optometrist
  • Sioux Falls, SD
  • NPI 1124228267
  Medicare reassignment Care Compare group NPD
• Paul A Greenfield, OD

  • Optometrist
  • Sioux Falls, SD
  • NPI 1093716557
  Medicare reassignment Care Compare group NPD
• Larry L Vanderzee, OD

  • Optometrist
  • Sioux Falls, SD
  • NPI 1174524144
  Medicare reassignment Care Compare group NPD
• Philip G Sietstra, OD

  • Optometrist
  • Sioux Falls, SD
  • NPI 1376544833
  Authorized official Same address or phone
• Bobette N Greenfield, OD

  • Optometrist
  • Sioux Falls, SD
  • NPI 1467453928
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1285635250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082677",
            "telephone_number": "605-338-7104",
            "fax_number": "605-575-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082677",
            "telephone_number": "605-338-7104",
            "fax_number": "605-575-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE DOCTORS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "SIETSTRA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "605-338-7104",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "57D33TH",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CI5913",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.