| NPI | 1053979906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON R. TENDLER President 605-359-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 261QS0132X Clinic/Center, Ophthalmologic Surgery | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-07-01 |