| NPI | 1780100941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS MICHAEL LEHR Owner/Optometrist 605-362-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SD 721) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: SD 721) |
| Enumeration Date | 2017-08-19 |
| Last Update Date | 2022-07-21 |