| NPI | 1700126448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA VALARIE SMIT Co Owner 605-759-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SD 672) |
| 152WC0802X Optometrist Corneal and Contact Management (Licence: SD 672) | |
| 152WP0200X Optometrist Pediatrics (Licence: SD 672) | |
| 156F00000X Technician/Technologist | |
| 156FC0800X Technician/Technologist Contact Lens | |
| 156FX1100X Technician/Technologist Ophthalmic | |
| 156FX1101X Technician/Technologist Ophthalmic Assistant | |
| 156FX1201X Technician/Technologist Optometric Assistant | |
| 156FX1202X Technician/Technologist Optometric Technician | |
| Enumeration Date | 2013-02-17 |
| Last Update Date | 2013-11-14 |