| NPI | 1528255924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B JARDING O PT Ometrist 605-343-4703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: SD 111) |
| Enumeration Date | 2007-09-29 |
| Last Update Date | 2007-11-05 |