DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PILLEN OPTICAL INC

MEDICARE: PILLEN OPTICAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437555182
Entity Type Code : Organization
Provider Name (Legal Business Name) : PILLEN OPTICAL INC
Provider Business Mailing Address
First Line : 409 KANSAS CITY ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-8239
Country : US
Telephone Number : 605-348-2323
Fax Number : 605-348-6694
Provider Business Practice Location Address
First Line : 409 KANSAS CITY ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-8239
Country : US
Telephone Number : 605-348-2323
Fax Number : 605-348-6694
Authorized Official
Title or Position : CEO
Name : SHAWN JACOB SMITH
Credential : ABO/NCLE
Telephone Number : 605-348-2323
Provider Enumeration Date : 11/07/2014
Last Update Date : 09/08/2016

Similar Medicare Providers

1972855310 — ANGELA GRAY
Practice Location Address:
6501 BROADWAY EXT , SUITE 180
OKLAHOMA CITY, OK
73116-8239
Practice Phone: 405-607-4041
Practice Fax:
1740671718 — DESTINY TERRY
Practice Location Address:
6501 BROADWAY EXT , SUITE 180
OKLAHOMA CITY, OK
73116-8239
Practice Phone: 405-607-4041
Practice Fax:
1053704775 — JUSTUS DAVENPORT
Practice Location Address:
6501 BROADWAY EXT , SUITE 180
OKLAHOMA CITY, OK
73116-8239
Practice Phone: 405-607-4041
Practice Fax:
1134503154 — LINDSAY LEBEAU MSW
Practice Location Address:
6501 BROADWAY EXT , SUITE 180
OKLAHOMA CITY, OK
73116-8239
Practice Phone: 405-607-4041
Practice Fax: 405-463-0090
1538535174 — TRACY K MYRICK
Practice Location Address:
6501 BROADWAY EXT , SUITE 180
OKLAHOMA CITY, OK
73116-8239
Practice Phone: 405-607-4041
Practice Fax: 405-463-0090
1548638984 — ELIZABETH ANN THORNTON MARTINEZ
Practice Location Address:
6501 BROADWAY EXT , SUITE 180
OKLAHOMA CITY, OK
73116-8239
Practice Phone: 405-607-4041
Practice Fax:

Directions to “PILLEN OPTICAL INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.