| NPI | 1861694812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY M DEJONG President 605-624-4291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: SD 578) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2014-03-14 |