| NPI | 1982956553 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP OPTOMETRY MITCHELL |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2020-10-27 |