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Organization

VANCE THOMPSON VISION SIOUX CITY, PROF LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW JENSEN (CEO)
(605) 371-7120
Entity
Organization

Contact information

Practice address
201 E 4TH ST, SOUTH SIOUX CITY, NE 68776-1706
(605) 361-3937
Mailing address
3101 W 57TH ST, SIOUX FALLS, SD 57108-3162
(605) 361-3937

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
01/07/2021
Last updated
01/07/2021
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