Organization
OUTPOST OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF B RABBITT (OFFICE MANAGER)
(605) 232-3937
Entity
Organization
Contact information
Practice address
206 MILITARY RD, NORTH SIOUX CITY, SD 57049-3170
(605) 232-3937
(605) 235-1350
Mailing address
PO BOX 1993, NORTH SIOUX CITY, SD 57049-1993
(605) 232-3937
(605) 235-1350
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0547
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005536
BLUE CROSS BLUE SHIELD
SD
05
—
0541748
—
IA
05
—
100249906-00
—
NE
01
—
20033
SPECTERA
—
01
—
29577
AVESIS
—
05
—
9200623
—
SD
Enumeration date
03/02/2009
Last updated
04/08/2014
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