Dr. Chad D. Kalil, Optometrist P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DB053107 Issued in SD

Legal business name

DR. CHAD D. KALIL, OPTOMETRIST P.C.

Practice address

2233 6TH St
Brookings, SD 57006-1731

Phone

(605) 692-3595

NPI assigned

Mar 3, 2008

Last updated

Mar 3, 2008By 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

Dr. Chad David Kalil, O.D.

Title

President

Phone

(605) 690-1103

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1700056041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 10TH ST W",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 6TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061731",
            "telephone_number": "605-692-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CHAD D. KALIL, OPTOMETRIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "KALIL",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-690-1103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SD",
            "license": "DB053107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Brookings, SD
• Providers in Brookings, SD by specialty
• Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.