Provider Demographics
NPI:1831183359
Name:SAYLER, JEFFERY ALLAN (OD)
Entity type:Individual
Prefix:MR
First Name:JEFFERY
Middle Name:ALLAN
Last Name:SAYLER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:MR
Other - First Name:JEFF
Other - Middle Name:ALLAN
Other - Last Name:SAYLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:2325 W 57TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5046
Mailing Address - Country:US
Mailing Address - Phone:605-275-6100
Mailing Address - Fax:605-275-6105
Practice Address - Street 1:2325 W 57TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5046
Practice Address - Country:US
Practice Address - Phone:605-275-6100
Practice Address - Fax:605-275-6105
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDT468152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD22589OtherSIOUX VALLEY INSURANCE
SD0005728OtherBLUE CROSS
SD9201592Medicaid
SD9201592Medicaid
SD22589OtherSIOUX VALLEY INSURANCE