NPI | 1962724831 |
---|---|
Doing Business As | AVERA MEDICAL GROUP OPTOMETRY REDWOOD FALLS |
Entity Type | Organization |
Authorized Contact | DEBBIE STREIER CEO 507-537-9160 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
152W00000X Optometrist | |
Enumeration Date | 2010-02-19 |
Last Update Date | 2023-02-20 |