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Organization
PILLEN OPTICAL INC
Active
Organization
PILLEN OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN JACOB SMITH ABO/NCLE (CEO)
(605) 348-2323
Entity
Organization
Contact information
Practice address
409 KANSAS CITY ST, RAPID CITY, SD 57701-8239
(605) 348-2323
(605) 348-6694
Mailing address
409 KANSAS CITY ST, RAPID CITY, SD 57701-8239
(605) 348-2323
(605) 348-6694
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9281160
—
SD
Enumeration date
11/07/2014
Last updated
09/08/2016
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