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Organization
OPHTHALMOLOGY ASSOCIATES 010196
Active
Organization
OPHTHALMOLOGY ASSOCIATES 010196
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KNOLL (ADMINISTRATOR)
(605) 226-2108
Entity
Organization
Contact information
Practice address
310 8TH AVE NW STE 507, ABERDEEN, SD 57401-2369
(605) 226-2108
(605) 225-2674
Mailing address
310 8TH AVE NW STE 507, ABERDEEN, SD 57401-2369
(605) 226-2108
(605) 225-2674
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68A42OP
MN BLUE SHIELD
MN
01
—
CD7706
RAILROAD MEDICARE
ND
01
—
CD7707
RAILROAD MEDICARE
SD
01
—
CG5534
RAILROAD MEDICARE
MN
Enumeration date
12/21/2006
Last updated
04/14/2026
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