Organization
OPHTHALMOLOGY LTD
Active
Parent organization
OPHTHALMOLOGY LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPHTHALMOLOGY LTD
Authorized official
DARCY PEREZ (CREDENTIALING/ACCOUNTANT)
(605) 731-5640
Entity
Organization
Contact information
Practice address
705 14TH AVE NE, WATERTOWN, SD 57201-6827
(605) 886-7722
(605) 886-7723
Mailing address
6601 S MINNESOTA AVE STE 200, SIOUX FALLS, SD 57108-2564
(605) 336-6294
(605) 336-0266
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010409
—
SD
Enumeration date
06/28/2022
Last updated
06/28/2022
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