Organization Active NPI

KJK Vision LLC

  • Optometrist
  • Sioux Falls, SD
National Provider Identifier
1437566189
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
706 Issued in SD
Legal business name
KJK VISION LLC
Practice address
5824 W Pineridge Dr
Sioux Falls, SD 57107-0960
Phone
(605) 360-5627
NPI assigned
Jul 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Kacie Kreifels, O.D, M.S
Title
Administrator
Phone
(605) 360-5627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 706 SD Primary

Addresses

Primary practice location

5824 W Pineridge Dr
Sioux Falls, SD 57107-0960

Mailing address

5824 W Pineridge Dr
Sioux Falls, SD 57107-0960

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1437566189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 W PINERIDGE DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571070960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 W PINERIDGE DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571070960",
            "telephone_number": "605-360-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJK VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "KREIFELS",
        "authorized_official_first_name": "KACIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-360-5627",
        "authorized_official_credential": "O.D, M.S"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "706",
            "primary": true
        }
    ],
    "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 15, 2014; 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.