| |
305 N Sanborn Blvd, Mitchell, SD 57301-2449 | |
(605) 996-2537 | |
(605) 996-0500 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 305 N Sanborn Blvd, Mitchell, South Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922053933 | NPI | - | NPPES |
0003008 | Other | SD | BLUE CROSS/SHIELD GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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305 N Sanborn Blvd, Mitchell, SD 57301-2449 Ph: (605) 996-2537 | 305 N Sanborn Blvd, Mitchell, SD 57301-2449 Ph: (605) 996-2537 |