| NPI | 1043778103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI J ANDERSON CFO 605-341-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2021-05-14 |