| NPI | 1225338148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD JEROME MORIARTY President 605-343-4164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: SD T484) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2012-04-27 |