| |
911 E 20th St Ste 101, Sioux Falls, SD 57105-1043 | |
(605) 322-3790 | |
(605) 322-3791 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 911 E 20th St Ste 101, Sioux Falls, South Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417246901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 86370, Sioux Falls, SD 57118-6370 Ph: (605) 322-7510 | 911 E 20th St Ste 101, Sioux Falls, SD 57105-1043 Ph: (605) 322-3790 |