Organization
WILLCOCKSON EYE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE ALAN GASS (ADMINISTRATOR)
(605) 665-9638
Entity
Organization
Contact information
Practice address
415 W 3RD ST, YANKTON, SD 57078-4201
(605) 665-9638
(605) 665-0526
Mailing address
415 W 3RD ST, YANKTON, SD 57078-4201
(605) 665-9638
(605) 665-0526
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
SD
207W00000X
Ophthalmology Physician
Primary
0017
SD
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000121
SD BLUE SHIELD
SD
Enumeration date
09/20/2006
Last updated
08/02/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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