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Organization
YOUR EYES ONLY OPTICAL, INC
Active
Organization
YOUR EYES ONLY OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARSHA KAE HUMPHREYS (OPTICIAN MANAGER)
(605) 716-2190
Entity
Organization
Contact information
Practice address
240 MINNESOTA ST, RAPID CITY, SD 57701-6200
(605) 716-2190
(605) 716-2199
Mailing address
240 MINNESOTA ST, RAPID CITY, SD 57701-6200
(605) 716-2190
(605) 716-2199
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9280190
—
SD
Enumeration date
02/14/2007
Last updated
08/22/2020
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