Organization
DEADWOOD EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CZERNY OD (OWNER)
(605) 578-1761
Entity
Organization
Contact information
Practice address
88 CHARLES ST, DEADWOOD, SD 57732-1303
(605) 578-1761
Mailing address
88 CHARLES ST, DEADWOOD, SD 57732-1303
(605) 578-1761
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
673
SD
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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