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Organization
CITY OF BROOKINGS
Active
Organization
CITY OF BROOKINGS
Active
Other names
Brookings Health System Yorkshire Eye Clinic & Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA WAGNER (CFO)
(605) 696-9000
Entity
Organization
Contact information
Practice address
2311 YORKSHIRE DR, BROOKINGS, SD 57006
(605) 696-8871
Mailing address
300 22ND AVE, BROOKINGS, SD 57006-2480
(605) 696-9000
(605) 696-7728
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9163910
—
SD
Enumeration date
10/19/2006
Last updated
11/20/2019
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