Organization
MILBANK EYECARE CENTER, PROF. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS R GILMORE O.D. (OWNER)
(605) 432-6666
Entity
Organization
Contact information
Practice address
224 S MAIN ST, MILBANK, SD 57252-1809
(605) 432-6666
(605) 432-9255
Mailing address
224 S MAIN ST, MILBANK, SD 57252-1809
(605) 432-6666
(605) 432-9255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
583
SD
Other
Enumeration date
12/19/2007
Last updated
08/01/2013
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