| NPI | 1639535198 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP OPHTHALMOLOGY DME |
| Entity Type | Organization |
| Authorized Contact | JULIE N NORTON CFO 605-322-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |