Organization
DR DANIEL L PETERS OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL L PETERS OD (PRESIDENT)
(605) 842-1974
Entity
Organization
Contact information
Practice address
1436 E 10TH ST, WINNER, SD 57580-2818
(605) 842-1974
(605) 842-2328
Mailing address
1436 E 10TH ST, WINNER, SD 57580-2818
(605) 842-1974
(605) 842-2328
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
110
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9201632
—
SD
01
—
9226153
DAKOTA CARE
SD
Enumeration date
09/25/2006
Last updated
06/22/2009
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