Individual
BOBETTE N GREENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Mailing address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
509T
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123848001
DMERC
SD
01
—
456R5NA
BCBS OF MN
—
05
—
9202873
—
SD
Enumeration date
08/09/2005
Last updated
02/19/2016
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