Jepson Eye Care P.L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

688 Issued in SD

Legal business name

JEPSON EYE CARE P.L.L.C.

Practice address

430 W Sioux Ave
Pierre, SD 57501-2445

Phone

(605) 224-8666

NPI assigned

Apr 19, 2011

Organization subpart

No

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

Authorized official

Name

Max Jepson, OD

Title

Owner

Phone

(605) 224-8666

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1629368055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575010068",
            "telephone_number": "605-224-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W SIOUX AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012445",
            "telephone_number": "605-224-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEPSON EYE CARE P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "JEPSON",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-224-8666",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740587633",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Allison Jo Johnson, NP

• Optometrist in Pierre, SD
• Providers in Pierre, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.