Provider Demographics
NPI:1326024886
Name:TORSNEY, JAMES (OD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:TORSNEY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 MAIN STREET
Mailing Address - Street 2:BOX 387
Mailing Address - City:TYNDALL
Mailing Address - State:SD
Mailing Address - Zip Code:57066
Mailing Address - Country:US
Mailing Address - Phone:605-589-3406
Mailing Address - Fax:605-589-3406
Practice Address - Street 1:1708 MAIN STREET
Practice Address - Street 2:
Practice Address - City:TYNDALL
Practice Address - State:SD
Practice Address - Zip Code:57066
Practice Address - Country:US
Practice Address - Phone:605-589-3406
Practice Address - Fax:605-589-3406
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-16
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD569152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9203510Medicaid
SD5590510001Medicare NSC
SDS100917Medicare PIN