| NPI | 1063500072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANN ZELL Billing Manager 605-718-9426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SD 1230) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2019-06-13 |