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Organization
VERMILLION VISION CLINIC, PC
Active
Organization
VERMILLION VISION CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY M DEJONG O.D. (PRESIDENT)
(605) 624-4291
Entity
Organization
Contact information
Practice address
120 W MAIN ST, VERMILLION, SD 57069-3036
(605) 624-4291
(605) 624-6822
Mailing address
120 W MAIN ST, VERMILLION, SD 57069-3036
(605) 624-4291
(605) 624-6822
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
578
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11321
AVERA HEALTH
SD
01
—
2100851
MEDICA UNITED HEALTHCARE
SD
01
—
238521
MIDLANDS CHOICE, AETNA, CIGNA
SD
01
—
32866
SANFORD HEALTH GROUP
SD
01
—
399493
COVENTRY HEALTH CARE OF IOWA
—
01
—
4995791
BLUE SHIELD GROUP
SD
01
—
6056244291
VSP
SD
05
—
9200863
—
SD
01
—
9219420
DAKOTACARE GROUP
SD
01
—
OP2175
EYEMED
SD
Enumeration date
06/01/2007
Last updated
03/14/2014
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