institution
The Optical Shop Inc.
Optician in Brookings, South Dakota
NPI 1063588374

The Optical Shop Inc. is a Optician based in Brookings, SD and is specialized in Optician. The Optical Shop Inc. practices in Brookings, SD. The NPI Number for The Optical Shop Inc. is 1063588374 and holds a License No. 05001EST001 (South Dakota).

The current practice location address for The Optical Shop Inc. is 112 22Nd Ave S, Brookings, SD and can be reached out via phone at 605-692-5173 and via fax at 605-692-6710.

Location: 112 22Nd Ave S, Brookings, SD, 57006-2600
institution
Provider Profile Details
NPI Number
1063588374
Provider Name
The Optical Shop Inc.
Credential
Provider Entity Type
Organization
Address
112 22Nd Ave S, Brookings, SD, 57006-2600
Phone Number
605-692-5173
Fax Number
605-692-6710
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9280970 05 SD
institution
Provider Business Practice Location Address Details
Address
112 22Nd Ave S
City
State
Zip
57006-2600
Phone Number
605-692-5173
Fax Number
605-692-6710
person
Provider Business Mailing Address Details
Address
112 22Nd Ave S
City
State
Zip
57006-2600
Phone Number
605-692-5173
Fax Number
605-692-6710
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
05001EST001 (South Dakota)
Definition
Definition to come...
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