| NPI | 1689900292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO GERARDO MIJANGOS Doctor Of Optometry 605-422-1745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 2445) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |