| NPI | 1912229683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ELLWEIN Owner 605-271-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: SD 595) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |