Individual
DR. ANDREA L MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6601 S MINNESOTA AVE., SUITE 200, SIOUX FALLS, SD 57108
(605) 336-6294
(605) 336-0266
Mailing address
6601 S MINNESOTA AVE., SUITE 200, SIOUX FALLS, SD 57108
(605) 336-6294
(605) 336-0266
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2392
IA
152W00000X
Optometrist
Primary
636
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024952400
—
NE
05
—
10025032100
—
NE
05
—
1083607493
—
IA
05
—
1083607493
—
MN
05
—
9203740
—
SD
Enumeration date
08/31/2005
Last updated
06/29/2023
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