Organization
GREAT PLAINS EYE CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS CLEMENT WHITE MD (PRESIDENT)
(605) 334-7715
Entity
Organization
Contact information
Practice address
1701 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1751
(605) 334-7715
(605) 334-8247
Mailing address
1701 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1751
(605) 334-7715
(605) 334-8247
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2075
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007123
WELLMARK ADMINISTRATORS
SC
01
—
0007123
BLUE CROSS/SHIELD
SD
01
—
01014670
UNITED HEALTH CARE
SD
01
—
25443
SIOUX VALLEY HEALTH PLAN
SD
01
—
301784
AVERA
SD
01
—
6300190
DAKOTACARE
SD
05
—
6300190
—
SD
01
—
7123
GEHA
SD
01
—
90258WH
BLUE CROSS/SHIELD
MN
Enumeration date
03/08/2006
Last updated
04/20/2008
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