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Organization
GREAT PLAINS EYE CLINIC LTD
Active
Organization
GREAT PLAINS EYE CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS CLEMENT WHITE MD (PRESIDENT)
(605) 334-7715
Entity
Organization
Contact information
Practice address
1701 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1751
(605) 334-7715
(605) 334-8247
Mailing address
1701 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1751
(605) 334-7715
(605) 334-8247
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2075
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007123
WELLMARK ADMINISTRATORS
SC
01
—
0007123
BLUE CROSS/SHIELD
SD
01
—
01014670
UNITED HEALTH CARE
SD
01
—
25443
SIOUX VALLEY HEALTH PLAN
SD
01
—
301784
AVERA
SD
01
—
6300190
DAKOTACARE
SD
05
—
6300190
—
SD
01
—
7123
GEHA
SD
01
—
90258WH
BLUE CROSS/SHIELD
MN
Enumeration date
03/08/2006
Last updated
04/20/2008
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