Organization
HARRISBURG EYE CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D. BOER O.D. (PRESIDENT)
(605) 213-2020
Entity
Organization
Contact information
Practice address
220 S CLIFF AVE, #102, HARRISBURG, SD 57032
(605) 213-2020
Mailing address
220 S CLIFF AVE #102, PO BOX 298, HARRISBURG, SD 57032
(605) 213-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
637
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9203752
—
SD
Enumeration date
07/05/2007
Last updated
12/20/2007
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