NPI | 1447664800 |
---|---|
Doing Business As | REDWATER EYE CARE |
Entity Type | Organization |
Authorized Contact | BRIAN K GILL President/Optometrist 605-484-1977 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: SD T624) |
Enumeration Date | 2014-06-13 |
Last Update Date | 2014-06-13 |