| NPI | 1154587780 |
|---|---|
| Doing Business As | SANFORD HEALTH 1611 EYE CENTER & OPTICAL |
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207N00000X Dermatology | |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2020-06-29 |