Individual
DR. SHANE NICHOLAS VOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2325 W 57TH ST, SIOUX FALLS, SD 57108-5046
(605) 275-6100
(605) 275-6105
Mailing address
2325 W 57TH ST, SIOUX FALLS, SD 57108-5046
(605) 275-6100
(605) 275-6105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
02358
IA
152W00000X
Optometrist
Primary
685
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218339
—
IA
01
—
18020
WELLMARK
IA
01
—
421497917
COMMERCIAL & OTHER STATES
IA
01
—
A004235
CHAMPUS
IA
Enumeration date
08/29/2006
Last updated
10/16/2012
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