Organization
NEBELSICK OPTOMETRIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN PAUL NEBELSICK OD (OWNER)
(605) 999-0152
Entity
Organization
Contact information
Practice address
409 KANSAS CITY ST, RAPID CITY, SD 57701-3636
(605) 348-2323
(605) 348-6694
Mailing address
23811 KIEFFER RANCH RD, RAPID CITY, SD 57702-7369
(605) 999-0152
(605) 348-6694
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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