| NPI | 1841445368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL L. EDWARDS O PT Ometrist/Self 605-341-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: SD 466) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2009-12-02 |