| NPI | 1932144870 |
|---|---|
| Former Legal Business Name | CROUCH VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | VIRJEAN LORRAINE FEJFAR Insurance / Billing 605-339-1939 |
| Organization Subpart ? | |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SD 527) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SD 526) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2010-05-06 |