Individual
DR. DEREK M ALLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2200 N MAPLE AVE, RAPID CITY, SD 57701-7854
(605) 343-1200
Mailing address
2200 N MAPLE AVE, RAPID CITY, SD 57701-7854
(605) 343-1200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
563
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006986
BCBS
SD
05
—
9203144
—
SD
Enumeration date
03/24/2006
Last updated
05/22/2008
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