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Organization
EAGLE VISION
Active
Organization
EAGLE VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE K POWNELL (OWNER)
(605) 886-2038
Entity
Organization
Contact information
Practice address
906 1/2 9TH AVE SE, WATERTOWN, SD 57201
(605) 886-2038
Mailing address
916 1/2 9TH AVE SE, WATERTOWN, SD 57201-5224
(605) 886-2038
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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