Provider Demographics
NPI:1750539151
Name:NORTH CENTRAL EYE, INC.
Entity type:Organization
Organization Name:NORTH CENTRAL EYE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:TIMS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:605-400-3939
Mailing Address - Street 1:3209 S LOUISE AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-0704
Mailing Address - Country:US
Mailing Address - Phone:605-362-8733
Mailing Address - Fax:605-362-2622
Practice Address - Street 1:3209 S LOUISE AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-0704
Practice Address - Country:US
Practice Address - Phone:605-362-8733
Practice Address - Fax:605-362-2622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-28
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center