Vanderzee, Larry L

Vanderzee, Larry L is an individual health care provider with primary practice located at 5116 S Western Ave , Sioux Falls SD 57108-2677. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vanderzee, Larry L can be contacted via phone (605) 338-7104.

Contact Information

Primary practice address
5116 S Western Ave Sioux Falls SD 57108-2677
Phone: (605) 338-7104
Fax: (605) 575-3880
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 486 South Dakota

Profile Details

NPI number 1174524144
LBN Legal business name Vanderzee, Larry L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Sep 22nd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174524144 NPPES
Other 57D34VA BCBS OF MN
Other 410038932 BCBS OF MN
MEDICAID 9202643 BCBS OF MN

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