Provider Demographics
NPI:1518200161
Name:PRECISION FOCUS, PC
Entity Type:Organization
Organization Name:PRECISION FOCUS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-310-5465
Mailing Address - Street 1:6604 S CONNIE AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5804
Mailing Address - Country:US
Mailing Address - Phone:605-338-3225
Mailing Address - Fax:605-334-4915
Practice Address - Street 1:1601 W 41ST ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6371
Practice Address - Country:US
Practice Address - Phone:605-338-3225
Practice Address - Fax:605-334-4915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-02
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDU56993Medicare UPIN
SD101053Medicare PIN