Organization
ETERNAL VISION, P.C.
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD BEYNON O.D. (PRESIDENT)
(605) 520-1929
Entity
Organization
Contact information
Practice address
1612 EGLIN ST, SUITE 100, RAPID CITY, SD 57701-6110
(605) 348-4778
Mailing address
905 29TH ST SE, WATERTOWN, SD 57201-9123
(605) 520-1929
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
609
SD
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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