Organization · NPI-2

Black Hills Regional Eye Institute Refractive Surgery Center, LLC

Clinic/Center · Rapid City, SD

NPI number1104114487
StatusActive
Last updated in NPPESOct 7, 2011

Details

NPI
1104114487
Entity type
Organization (NPI-2)
Legal business name
Black Hills Regional Eye Institute Refractive Surgery Center, LLC
Organization subpart
No
Enumeration date
Jul 20, 2011
Last updated
Oct 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

2800 3rd St
Rapid City, SD 57701-7374

Phone 605-341-2000 · Fax 605-341-0278

Mailing address

2800 3rd St
Rapid City, SD 57701-7374

Phone 605-341-2000 · Fax 605-341-0278

Authorized official

Jodi J Anderson
Chief Financial Officer
6053412000

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