Provider Demographics
NPI:1124722509
Name:NASH VISION PLLC
Entity type:Organization
Organization Name:NASH VISION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:605-892-2020
Mailing Address - Street 1:1830 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:BELLE FOURCHE
Mailing Address - State:SD
Mailing Address - Zip Code:57717-2089
Mailing Address - Country:US
Mailing Address - Phone:605-892-2020
Mailing Address - Fax:605-892-6227
Practice Address - Street 1:1830 5TH AVE
Practice Address - Street 2:
Practice Address - City:BELLE FOURCHE
Practice Address - State:SD
Practice Address - Zip Code:57717-2089
Practice Address - Country:US
Practice Address - Phone:605-892-2020
Practice Address - Fax:605-892-6227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty