| NPI | 1013756899 |
|---|---|
| Former Legal Business Name | BROWN OPTOMETRIC CLINIC, PC |
| Entity Type | Organization |
| Authorized Contact | THOMAS WIERTZEMA COO 605-940-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-08-08 |