Individual
TAMMY KAY HERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1420 NORTH AVE, SUITE 1, SPEARFISH, SD 57783-1543
(605) 642-0390
(605) 642-0388
Mailing address
1420 NORTH AVE, SUITE 1, SPEARFISH, SD 57783-1541
(605) 642-0390
(605) 642-0388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
508
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9202850
—
SD
Enumeration date
01/13/2006
Last updated
10/22/2015
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