Organization
DAKOTA VISION CENTER, LLC
Active
Other names
Dakota Vision Center East
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANCE EVAN ANKRUM O.D. (OWNER/PARTNER)
(605) 361-1680
Entity
Organization
Contact information
Practice address
5012 S BUR OAK PL, SIOUX FALLS, SD 57108-2228
(605) 361-1680
(605) 361-1590
Mailing address
5012 S BUR OAK PL, SIOUX FALLS, SD 57108-2228
(605) 361-1680
(605) 361-1590
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T-155
SD
152W00000X
Optometrist
T-462
SD
152W00000X
Optometrist
T-473
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9202072
—
SD
05
—
9202133
—
SD
05
—
9202392
—
SD
Enumeration date
03/22/2006
Last updated
09/09/2020
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