Organization
PIETZ-COATS OPTOMETRY INC
Active
Other names
The Optical Shop
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN JO PIETZ OD (PRESIDENT/OPTOMETRIST)
(605) 692-5173
Entity
Organization
Contact information
Practice address
112 22ND AVE S, BROOKINGS, SD 57006-2600
(605) 692-5173
(605) 692-6710
Mailing address
PO BOX 785, BROOKINGS, SD 57006-0785
(605) 692-5173
(605) 692-6710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
597
SD
Other
Enumeration date
03/26/2008
Last updated
12/24/2008
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