| NPI | 1912073834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI J SUDRALA Chief Financial Officer 605-341-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: SD 100) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |