Vermillion Vision Clinic, PC
Optometrist, Corneal and Contact Management in Vermillion, SD. Organization (NPI-2).
NPI number1861694812
StatusActive
Last updated in NPPESMar 14, 2014
Details
- NPI
- 1861694812
- Entity type
- Organization (NPI-2)
- Legal business name
- Vermillion Vision Clinic, PC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2007
- Last updated
- Mar 14, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152WC0802X | Optometrist, Corneal and Contact Management | 578 | SD | Yes |
Practice location
120 W Main StVermillion, SD 57069-3036
Phone 605-624-4291 · Fax 605-624-6822
Mailing address
120 W Main StVermillion, SD 57069-3036
Phone 605-624-4291 · Fax 605-624-6822
Authorized official
Amy M Dejong
President
6056244291
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