Organization
VANDERLEI OPTOMETRIC PC
Active
Other names
Prairie Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE JOSEPH VANDERLEI OD (OWNER)
(605) 661-1145
Entity
Organization
Contact information
Practice address
11 SHRINER ST, VERMILLION, SD 57069-1155
(605) 624-2020
(605) 624-7961
Mailing address
130 CATALINA AVE, VERMILLION, SD 57069-3318
(605) 661-1145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
727
SD
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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