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Contact Information

VERMILLION VISION CLINIC, PC
120 W MAIN ST
VERMILLION, SD57069-3036
 Phone: 605-624-4291
 Fax: 605-624-6822
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for VERMILLION VISION CLINIC, PC

NPI # 1861694812
LBN Legal business name VERMILLION VISION CLINIC, PC
Authorized official AMY DEJONG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/01/2007
Last updated 03/14/2014 - About 12 years ago
Identifiers
SD License # 578
SD Medicaid 9200863
Other 399493 COVENTRY HEALTH CARE OF IOWA
SD Other 11321 AVERA HEALTH
SD Other 4995791 BLUE SHIELD GROUP
SD Other 9219420 DAKOTACARE GROUP
SD Other OP2175 EYEMED
SD Other 2100851 MEDICA UNITED HEALTHCARE
SD Other 238521 MIDLANDS CHOICE, AETNA, CIGNA
SD Other 32866 SANFORD HEALTH GROUP
SD Other 6056244291 VSP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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