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11 Shriner St, Vermillion, SD 57069-1155 | |
(605) 624-2020 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 11 Shriner St, Vermillion, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013756899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Cynthia Johnson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063451276 PECOS PAC ID: 8325041916 Enrollment ID: I20060822000044 |
Provider Name | Kevin M Brown |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619916871 PECOS PAC ID: 4688672694 Enrollment ID: I20061129000058 |
Provider Name | Clarence J Vanderlei |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811347685 PECOS PAC ID: 1658664065 Enrollment ID: I20160722000930 |
Provider Name | Victoria J Johnson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346928751 PECOS PAC ID: 1557704772 Enrollment ID: I20241031002462 |
Mailing Address | Practice Location Address |
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11 Shriner St, Vermillion, SD 57069-1155 Ph: (605) 624-2020 | 11 Shriner St, Vermillion, SD 57069-1155 Ph: (605) 624-2020 |
Dr. Amy M Dejong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 120 W Main St, Vermillion, SD 57069 Phone: 605-624-4291 Fax: 604-624-6822 | |
Cynthia Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11 Shriner St, Vermillion, SD 57069 Phone: 605-624-2020 | |
Victoria Jo Johnson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 11 Shriner St, Vermillion, SD 57069 Phone: 605-624-2020 | |
Dr. Kevin M Brown, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11 Shriner St, Vermillion, SD 57069 Phone: 605-624-2020 Fax: 605-624-7961 | |