Healthcare Provider Details

I. General information

NPI: 1700718541
Provider Name (Legal Business Name): SOUTH DAKOTA LIONS EYE & TISSUE BANK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 W 61ST ST N
SIOUX FALLS SD
57107-6411
US

IV. Provider business mailing address

4501 W 61ST ST N
SIOUX FALLS SD
57107-6411
US

V. Phone/Fax

Practice location:
  • Phone: 605-373-1008
  • Fax:
Mailing address:
  • Phone: 605-373-1008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332G00000X
TaxonomyEye Bank
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW ARNETT
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 605-373-1008