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Organization
MD BARTLEY OPTICIANS
Active
Organization
MD BARTLEY OPTICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DON BARTLEY (OWNER)
(605) 692-7619
Entity
Organization
Contact information
Practice address
2311 YORKSHIRE DR, BROOKINGS, SD 57006-2446
(605) 692-7619
(605) 697-9005
Mailing address
2311 YORKSHIRE DR, BROOKINGS, SD 57006-2446
(605) 692-7619
(605) 697-9005
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
9280210
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9290210
—
SD
Enumeration date
03/13/2007
Last updated
01/09/2008
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