NPI | 1205193554 |
---|---|
Doing Business As | VANCE THOMPSON VISION |
Entity Type | Organization |
Authorized Contact | JOHN PALMER BERDAHL Owner 605-361-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2012-04-11 |
Last Update Date | 2024-05-21 |