Milbank Eyecare Center, Prof. L.L.C.
Optometrist in Milbank, SD. Organization (NPI-2).
NPI number1578747143
StatusActive
Last updated in NPPESAug 1, 2013
Details
- NPI
- 1578747143
- Entity type
- Organization (NPI-2)
- Legal business name
- Milbank Eyecare Center, Prof. L.L.C.
- Organization subpart
- No
- Enumeration date
- Dec 19, 2007
- Last updated
- Aug 1, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 583 | SD | Yes |
Practice location
224 S Main StMilbank, SD 57252-1809
Phone 605-432-6666 · Fax 605-432-9255
Mailing address
224 S Main StMilbank, SD 57252-1809
Phone 605-432-6666 · Fax 605-432-9255
Authorized official
Nicholas R Gilmore
Owner
6054326666
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