Organization
20/20 EYE CANDY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA VALARIE SMIT OPTICIAN (CO-OWNER)
(605) 759-2389
Entity
Organization
Contact information
Practice address
4900 S MINNESOTA AVE, SUITE 105, SIOUX FALLS, SD 57108-2865
(605) 759-2389
Mailing address
4900 S MINNESOTA AVE, SUITE 105, SIOUX FALLS, SD 57108-2865
(605) 759-2389
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
672
SD
152WC0802X
Corneal and Contact Management Optometrist
672
SD
152WP0200X
Pediatric Optometrist
672
SD
156F00000X
Technician/Technologist
—
—
156FC0800X
Contact Lens Technician/Technologist
—
—
156FX1100X
Ophthalmic Technician/Technologist
—
—
156FX1101X
Ophthalmic Assistant
—
—
156FX1201X
Optometric Assistant Technician
—
—
156FX1202X
Optometric Technician
—
—
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026-7978-ST
SD DEPT. OF REVENUE
SD
01
—
1326477316
INDIVIDUAL NPI NUMBER
SD
01
—
1447590187
INDIVIDUAL NPI NUMBER
SD
01
—
1700174273
INDIVIDUAL NPI NUMBER
SD
01
—
1790061539
INDIVIDUAL NPI NUMBER
SD
Enumeration date
02/17/2013
Last updated
11/14/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us