| NPI | 1154586014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRJEAN L FEJFAR Insurance & Billing Coordinator 605-339-1939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SD 526) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SD 527) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |