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VERMILLION VISION CLINIC PC NPI 1861694812


NPI Information

NPI: 1861694812
Provider Name: VERMILLION VISION CLINIC, PC
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
120 W MAIN ST
VERMILLION, SD
ZIP 57069
Phone: (605) 624-4291
Get Directions

VERMILLION VISION CLINIC, PC is a corneal and contact management optometrist in Vermillion, SD. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. VERMILLION VISION CLINIC, PC NPI is 1861694812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 W MAIN ST
VERMILLION, SD
ZIP 57069-036
Phone: (605) 624-4291
Fax: (605) 624-6822

The provider's authorized official is Amy M Dejong .
The authorized official title is President and has the following contact phone number (605) 624-4291.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 3/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact Management578SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111321OTHERSOUTH DAKOTAAVERA HEALTH
29200863MEDICAIDSOUTH DAKOTA
39219420OTHERSOUTH DAKOTADAKOTACARE GROUP
45185550001MEDICARE NSCSOUTH DAKOTA
52100851OTHERSOUTH DAKOTAMEDICA UNITED HEALTHCARE
632866OTHERSOUTH DAKOTASANFORD HEALTH GROUP
7OP2175OTHERSOUTH DAKOTAEYEMED
8U85806MEDICARE UPINSOUTH DAKOTA
9=========OTHERSOUTH DAKOTATRICARE TRIWEST
1041775MEDICARE PINSOUTH DAKOTA
11238521OTHERSOUTH DAKOTAMIDLANDS CHOICE, AETNA, CIGNA
12399493OTHERCOVENTRY HEALTH CARE OF IOWA
134995791OTHERSOUTH DAKOTABLUE SHIELD GROUP
146056244291OTHERSOUTH DAKOTAVSP
15DU3212MEDICARE PINSOUTH DAKOTA
1641823MEDICARE PINSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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