Provider Demographics
NPI:1104666502
Name:EYE GUYS PLLC
Entity type:Organization
Organization Name:EYE GUYS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:SIVESIND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-334-7737
Mailing Address - Street 1:3825 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6510
Mailing Address - Country:US
Mailing Address - Phone:605-334-7737
Mailing Address - Fax:605-401-5705
Practice Address - Street 1:3825 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6510
Practice Address - Country:US
Practice Address - Phone:605-334-7737
Practice Address - Fax:605-401-5705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty