| NPI | 1902862717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE D WEISS Owner /O PT Ometrist 605-882-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SD SDT555) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2015-01-20 |