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Individual

ASHLEY R CROUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
5118 W 26TH ST, SIOUX FALLS, SD 57106-3520
(605) 339-1939
(605) 330-0252
Mailing address
5118 W 26TH ST, SIOUX FALLS, SD 57106-3520
(605) 339-1939
(605) 330-0252

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
527
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004142
BCBS
SD
01
1250550001
CIGNA DMERC
SD
01
22508
SIOUX VALLEY HEALTH PLAN
SD
01
5118
VSP
SD
01
5214
DAVIS VISION
SD
05
9201512
SD
01
9231588
DAKOTACARE
SD
01
CV12701
SPECTERA
SD
Enumeration date
02/16/2007
Last updated
07/08/2007
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