Organization
HURON VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOHNSON O.D. (OWNER)
(605) 352-8511
Entity
Organization
Contact information
Practice address
1712 DAKOTA AVE S, HURON, SD 57350-4024
(605) 352-8511
Mailing address
1712 DAKOTA AVE S, HURON, SD 57350-4024
(605) 352-8511
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T101
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9200012
—
SD
01
—
S41319
GROUP LEGACY NUMBER
SD
Enumeration date
12/20/2007
Last updated
06/11/2010
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