| NPI | 1154754489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON PULFORD Office Manager 605-274-6717 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152WV0400X Optometrist Vision Therapy (Licence: SD 565) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2019-05-13 |