Organization
DAWN WATTENHOFER, O.D., P.C.
Active
Other names
Eye Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN WATTENHOFER O.D. (PRESIDENT)
(605) 343-1200
Entity
Organization
Contact information
Practice address
2200 N MAPLE AVE, RAPID CITY, SD 57701-7854
(605) 343-1200
(605) 343-9752
Mailing address
2200 N MAPLE AVE STE D-252, RAPID CITY, SD 57701-7854
(605) 343-1200
(605) 343-9752
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SD0553
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006984
BCBS
SD
05
—
9200982
—
SD
05
—
9203144
—
SD
01
—
SD0553
LIC.# FOR DAWN WATTENHOFE
SD
01
—
SD0563
LIC.# FOR DEREK ALLMER
SD
Enumeration date
01/29/2007
Last updated
05/19/2008
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