Individual
NICHOLAS ROY GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
224 S MAIN ST, MILBANK, SD 57252-1809
(605) 432-6666
(605) 432-9255
Mailing address
224 S MAIN ST, MILBANK, SD 57252-1809
(605) 432-6666
(605) 432-9255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2813
MN
152W00000X
Optometrist
Primary
583
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
662688200
—
MN
05
—
9200872
—
SD
Enumeration date
05/13/2006
Last updated
05/19/2008
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