Organization Active NPI

TKC Optical, Inc

  • Eyewear Supplier
  • Yankton, SD
National Provider Identifier
1750437240
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
68-003 Issued in IA
Legal business name
TKC OPTICAL, INC
Practice address
1818 Broadway Ave Ste B
Yankton, SD 57078-2100
Phone
(605) 665-1133
Fax
(605) 665-3511
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Steve Conley
Title
President
Phone
(712) 252-1519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 68-003 IA Primary

Addresses

Primary practice location

1818 Broadway Ave Ste B
Yankton, SD 57078-2100

Mailing address

229 4TH St
Sioux City, IA 51101-1401
Phone (712) 252-1519

Other identifiers 6

IdentifierTypeStateIssuer
21623OtherSPECTERA
31804OtherAVESIS
NE1143-07OtherEYEMED
9219094OtherDAKOTA CARE
9280083MedicaidSD
0041585OtherSDBCBS

Other names 1

  • Exact Eye Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Exact Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1818 Broadway Ave
Ste B
Yankton, SD 57078
Phone (605) 665-1133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750437240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 4TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011401",
            "telephone_number": "712-252-1519",
            "fax_number": "712-252-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 BROADWAY AVE STE B",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782100",
            "telephone_number": "605-665-1133",
            "fax_number": "605-665-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKC OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-252-1519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IA",
            "license": "68-003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "21623",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "31804",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NE1143-07",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA CARE",
            "identifier": "9219094",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9280083",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0041585",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exact Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yankton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.