Organization
CONROY EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALLEN CONROY OD (OWNER PRESIDENT)
(605) 432-5730
Entity
Organization
Contact information
Practice address
411 S MAIN ST, MILBANK, SD 57252-2424
(605) 432-5730
(605) 432-4324
Mailing address
411 S MAIN ST, PO BOX 471, MILBANK, SD 57252-2424
(605) 432-5730
(605) 432-4324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SD491
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
358723100
MEDICAID
MN
05
—
9202533
—
SD
Enumeration date
04/28/2006
Last updated
03/07/2023
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