Individual
MRS. TIFFANY JOY BRINK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2325 W 57TH ST, SIOUX FALLS, SD 57108-5046
(605) 275-6100
(605) 275-6105
Mailing address
2325 W 57TH ST, SIOUX FALLS, SD 57108-5046
(605) 275-6100
(605) 275-6105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T0568
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007147
BLUE CROSS BLUE SHIELD
SD
01
—
23017
SIOUX VALLEY HEALTH PLAN
SD
05
—
9203200
—
SD
Enumeration date
09/02/2005
Last updated
01/06/2023
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