Vermillion Vision Clinic, PC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

578 Issued in SD

Legal business name

VERMILLION VISION CLINIC, PC

Practice address

120 W Main St
Vermillion, SD 57069-3036

Phone

(605) 624-4291

Fax

(605) 624-6822

NPI assigned

Jun 1, 2007

Last updated

Mar 14, 2014By 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. Amy M Dejong, O.D.NPI 1013997147

Title

President

Phone

(605) 624-4291

Specialties & licenses 1

Addresses

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.

• Amy M Dejong, O.D.

  • Optometrist
  • Vermillion, SD
  • NPI 1013997147
  Authorized official Same address or phone

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1861694812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693036",
            "telephone_number": "605-624-4291",
            "fax_number": "605-624-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693036",
            "telephone_number": "605-624-4291",
            "fax_number": "605-624-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMILLION VISION CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "DEJONG",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-624-4291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "SD",
            "license": "578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric John Vargas Vanderlee
• Vermillion Chiropractic, P.C.
• Vermillion Dental Health
• Vermillion School District
• Vermillion Speech Therapy
• Ryan Vinzant
• Wal-Mart Stores, Inc. (Vision Center 30-3734)
• Victoria L Walker, M.D.
• Walmart Inc. (Walmart Pharmacy 10-3734)
• Allison Walsh, LPC

• Corneal and Contact Management Optometrist in Vermillion, SD
• Providers in Vermillion, SD by specialty
• Corneal and Contact Management Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.