Organization
JEPSON EYE CARE P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX JEPSON OD (OWNER)
(605) 224-8666
Entity
Organization
Contact information
Practice address
430 W SIOUX AVE, PIERRE, SD 57501-2445
(605) 224-8666
Mailing address
PO BOX 68, PIERRE, SD 57501-0068
(605) 224-8666
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
688
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740587633
—
SD
Enumeration date
04/19/2011
Last updated
04/19/2011
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