Organization
KATHRYN O HAIVALA, OD PLLC
Active
Parent organization
KATHRYN O HAIVALA, OD PLLC
Other names
Spearfish Eye Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
KATHRYN O HAIVALA, OD PLLC
Authorized official
KATHRYN O HAIVALA OD (OWNER)
(605) 642-8480
Entity
Organization
Contact information
Practice address
1710 NORTH AVE, SPEARFISH, SD 57783-1218
(605) 642-8480
(605) 642-8185
Mailing address
1710 NORTH AVE, SPEARFISH, SD 57783-1218
(605) 642-8480
(605) 642-8185
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9202840
—
SD
Enumeration date
09/02/2020
Last updated
09/02/2020
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