Lori Kay Egeberg

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LORI KAY EGEBERG

Doing business as

Sixth Street Optical

Practice address

511 6TH St
Brookings, SD 57006-1436

Phone

(605) 692-5600

NPI assigned

Oct 2, 2015

Last updated

Oct 2, 2015By 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

Lori Kay EgebergNPI 1851768261

Title

Owner

Phone

(605) 692-5600

Specialties & licenses 1

Addresses

Other names 1

• Sixth Street Optical Doing business as

Locations

Practitioners 1

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.

• Lori Kay Egeberg, DISPENSING OPTICIAN

  • Technician/Technologist
  • Brookings, SD
  • NPI 1851768261
  NPD (past) Authorized official

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1619347622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 6TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061436",
            "telephone_number": "605-692-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 6TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061436",
            "telephone_number": "605-692-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI KAY EGEBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "EGEBERG",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-692-5600"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sixth Street Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Lauren Lipp, PA-C
• Little Wildflower Play Therapy, LLC
• Dustin Wade Little, DPT, CSCS
• Ellie Alayne Livingston
• Maureen A. Logue
• Nicole B. Lounsbery, MA, LPC, PHD
• Melanie Lunn
• Rachel Lynde, NP-C
• Danise Maas, MS, LAT, ATC
• Kenric D Malmberg, MD

• Eyewear Supplier in Brookings, SD
• Providers in Brookings, SD by specialty
• Eyewear Supplier in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.