| NPI | 1255819140 |
|---|---|
| Doing Business As | PRAIRIE EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CLARENCE JOSEPH VANDERLEI Owner 605-661-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SD 727) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |