Provider Demographics
NPI:1487076196
Name:20/20 EYE CARE, P.C.
Entity type:Organization
Organization Name:20/20 EYE CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:O.D./OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTREAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-759-2389
Mailing Address - Street 1:2210 W 69TH ST
Mailing Address - Street 2:SUITE 160
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5602
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2210 W 69TH ST
Practice Address - Street 2:SUITE 160
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5602
Practice Address - Country:US
Practice Address - Phone:605-759-2389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty