Provider Demographics
NPI:1770629503
Name:TOKARCZYK ENTERPRISES
Entity Type:Organization
Organization Name:TOKARCZYK ENTERPRISES
Other - Org Name:EXACT EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOKARCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-252-1519
Mailing Address - Street 1:229 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51101-1401
Mailing Address - Country:US
Mailing Address - Phone:712-252-1519
Mailing Address - Fax:712-252-1916
Practice Address - Street 1:921 17TH ST S
Practice Address - Street 2:
Practice Address - City:VIRGINIA
Practice Address - State:MN
Practice Address - Zip Code:55792-3705
Practice Address - Country:US
Practice Address - Phone:218-749-8355
Practice Address - Fax:218-749-8356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN47503DUOtherBCBS
22348OtherSPECTERA
MN0224250004Medicare NSC