NPI 1205193554 · live from the CMS NPI Registry
Vance Thompson Vision Clinic Prof LLC
Ophthalmology in Sioux Falls, SD. National Provider Identifier 1205193554, active.
NPI record
| NPI | 1205193554 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 3101 W 57th St, Sioux Falls, SD 57108 |
| Practice phone | 605-361-3937 |
| Enumerated | April 11, 2012 |
| Last updated | January 27, 2025 |
| Authorized official | John Berdahl, Owner |
| Other names | Vance Thompson Vision |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — (SD) |
| Ophthalmology primary | 207W00000X | — (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.