Organization
TRI STATE VISION CARE, PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA JOAN SLOWEY O.D. (OPTOMETRIST)
(605) 660-3896
Entity
Organization
Contact information
Practice address
1601 CORNHUSKER DR, SOUTH SIOUX CITY, NE 68776-3924
(402) 494-1498
(402) 494-1594
Mailing address
2709 ABBOTT CIR, YANKTON, SD 57078-5330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1355
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025994000
—
NE
Enumeration date
07/29/2011
Last updated
07/29/2011
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