| NPI | 1710919741 |
|---|---|
| Doing Business As | SANFORD CLINIC OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-11-27 |