NPI 1255929089 · live from the CMS NPI Registry
Vance Thompson Vision Sioux City, Prof LLC
Ophthalmology in South Sioux City, NE. National Provider Identifier 1255929089, active.
NPI record
| NPI | 1255929089 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 201 E 4th St, South Sioux City, NE 68776 |
| Practice phone | 605-361-3937 |
| Mailing address | 3101 W 57th St, Sioux Falls, SD 57108 |
| Enumerated | January 7, 2021 |
| Last updated | January 7, 2021 |
| Authorized official | Matthew Jensen, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — |
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.