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20/20 EYE CANDY, INC.

Eye and Vision Services Providers Technician/Technologist

Provider NPI: 1700126448

Organization Information:
Organization Name:  20/20 EYE CANDY, INC.
Organization is not Subpart
Authorized Official:  KRISTA VALARIE SMIT  CO-OWNER  605-759-2389

Practice Location:
4900 S MINNESOTA AVE SUITE 105 SIOUX FALLS, SD 57108-2865 US
Tel: 605-759-2389  Fax: --

Business Mailing Address:
4900 S MINNESOTA AVE SUITE 105 SIOUX FALLS, SD 57108-2865 US
Tel: 605-759-2389  Fax: --

NPI Information:
NPI: 1700126448
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N156F00000XEye and Vision Services Providers
Technician/Technologist
N156FC0800XEye and Vision Services Providers
Technician/Technologist
N156FX1100XEye and Vision Services Providers
Technician/Technologist
N156FX1101XEye and Vision Services Providers
Technician/Technologist
N156FX1201XEye and Vision Services Providers
Technician/Technologist
N156FX1202XEye and Vision Services Providers
Technician/Technologist
N152WC0802XEye and Vision Services Providers
Optometrist
SD672
N152WP0200XEye and Vision Services Providers
Optometrist
SD672
N152W00000XEye and Vision Services Providers
Optometrist
SD672
Y156FX1800XEye and Vision Services Providers
Technician/Technologist

Other Provider Identifiers:

IssuerNumberStateType
INDIVIDUAL NPI NUMBER1700174273SD01
INDIVIDUAL NPI NUMBER1326477316SD01
INDIVIDUAL NPI NUMBER1790061539SD01
SD DEPT. OF REVENUE1026-7978-STSD01
INDIVIDUAL NPI NUMBER1447590187SD01



American Medical Association 2012 taxonomy code information

Code: 156FX1800X

Type:

Classification:



Definition:



MEDICAL JOBS SD - Page 1

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