| NPI | 1316119738 |
|---|---|
| Doing Business As | THE OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | SUSAN JO PIETZ President/Optometrist 605-692-5173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SD 597) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-12-24 |