NPI 1003585548 · live from the CMS NPI Registry
Sacred Heart Health Services
Ophthalmology in Yankton, SD. National Provider Identifier 1003585548, active.
NPI record
| NPI | 1003585548 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 415 W 3rd St, Yankton, SD 57078 |
| Practice phone | 605-665-9638 |
| Mailing address | Po Box 860674, Minneapolis, MN 55486 |
| Enumerated | September 8, 2021 |
| Last updated | January 7, 2025 |
| Authorized official | Douglas Ekeren, President/Ceo |
| Other names | Avera Medical Group Willcockson Eye Associates |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.