| North Central Eye, Inc. | |
|
3209 S Louise Ave Sioux Falls SD 57106-0704 | |
| (605) 362-8733 | |
| (605) 362-2622 |
| Full Name | North Central Eye, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3209 S Louise Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Josh Tims (OPTOMETRIST) |
| Authorized Official Contact | 6054003939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Central Eye, Inc. 3209 S Louise Ave Sioux Falls SD 57106-0704 Ph: (605) 362-8733 | North Central Eye, Inc. 3209 S Louise Ave Sioux Falls SD 57106-0704 Ph: (605) 362-8733 |
| NPI Number | 1750539151 |
|---|---|
| Provider Enumeration Date | 08/28/2008 |
| Last Update Date | 08/24/2015 |
| Medicare PECOS PAC ID | 2668531534 |
|---|---|
| Medicare Enrollment ID | O20081106000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750539151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Nancy L Hetland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659460889 PECOS PAC ID: 2860594272 Enrollment ID: I20070302000211 |
| Provider Name | John D Boer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225234453 PECOS PAC ID: 8426149238 Enrollment ID: I20070808000771 |
| Provider Name | Joshua D Tims |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366605859 PECOS PAC ID: 9537228788 Enrollment ID: I20081104000139 |
| Provider Name | Paul Anthony Horner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962557066 PECOS PAC ID: 5991838682 Enrollment ID: I20100802000543 |
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