Organization
HURON EYE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L NELSON OD (PRESIDENT)
(605) 352-4181
Entity
Organization
Contact information
Practice address
1288 DAKOTA AVE S, STE 3, HURON, SD 57350-0948
(605) 352-4181
(605) 352-4189
Mailing address
PO BOX 948, HURON, SD 57350-0948
(605) 352-4181
(605) 352-4189
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T112
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041041
WELLMARK BCBS
SD
05
—
9201065
—
SD
Enumeration date
02/02/2006
Last updated
02/05/2008
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