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Organization

YOUR EYES ONLY OPTICAL, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARSHA KAE HUMPHREYS (OPTICIAN MANAGER)
(605) 716-2190
Entity
Organization

Contact information

Practice address
240 MINNESOTA ST, RAPID CITY, SD 57701-6200
(605) 716-2190
(605) 716-2199
Mailing address
240 MINNESOTA ST, RAPID CITY, SD 57701-6200
(605) 716-2190
(605) 716-2199

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9280190
SD
Enumeration date
02/14/2007
Last updated
08/22/2020
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