NPI | 1588208144 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW JENSEN CEO 605-371-7120 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2019-11-06 |
Last Update Date | 2019-11-06 |