Organization Active NPI

TKC Optical

Doing business as Exact Eye Care

  • Eyewear Supplier
  • Storm Lake, IA
National Provider Identifier
1467501981
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
TKC OPTICAL
Doing business as
Exact Eye Care
Practice address
100 E Milwaukee Ave
Storm Lake, IA 50588-1813
Phone
(712) 732-7624
NPI assigned
Jan 10, 2007
Last updated
Aug 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Clarence Joseph Vanderlei, OD
Title
Medical Director
Phone
(712) 732-7624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

100 E Milwaukee Ave
Storm Lake, IA 50588-1813

Mailing address

1801 4TH St
Sioux City, IA 51101-2118
Phone (712) 732-7624

Other practice location 1

1801 4th St
Sioux City, IA 51101-2118
Phone (712) 732-7624

Other identifiers 3

IdentifierTypeStateIssuer
19004OtherAVESIS
21629OtherIASPECTERA
NE1143-03OtherEYEMED

Other names 1

  • EXACT EYE CARE Doing business as

National Provider Directory

National Provider Directory

Locations

1801 4th St
Sioux City, IA 51101
Phone (712) 252-1519

2513 Hamilton Blvd
Sioux City, IA 51104
Phone (712) 252-0933

431 Pierce St
Sioux City, IA 51101
Phone (712) 252-4691

714 S Grand Ave
Spencer, IA 51301
Phone (712) 262-3982

105 N Splitrock Blvd
Brandon, SD 57005
Phone (605) 582-2990

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1467501981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 4TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511012118",
            "telephone_number": "712-732-7624",
            "fax_number": "712-732-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MILWAUKEE AVE",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881813",
            "telephone_number": "712-732-7624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 4th St",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511012118",
            "country_code": "US",
            "telephone_number": "712-732-7624",
            "fax_number": "712-732-7627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TKC OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "VANDERLEI",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "712-732-7624",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "19004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "21629",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NE1143-03",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXACT EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EXACT EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Storm Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.