| NPI | 1225090459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL J HOLEC Partner 605-342-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SD 587) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SD 459) |
| 152W00000X Optometrist (Licence: SD 520) | |
| 152W00000X Optometrist (Licence: SD 626) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2017-06-20 |