| NPI | 1346362373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KENNEDY Dr. 605-642-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SD 592) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SD 108) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2024-07-25 |