Organization
BLACK HILLS OPTOMETRY LLC
Active
Other names
The Eyeglass Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN WATTENHOFER O.D. (OPTOMETRIST/OWNER)
(605) 718-5888
Entity
Organization
Contact information
Practice address
318 MOUNT RUSHMORE RD, SUITE A, RAPID CITY, SD 57701-2769
(605) 718-5888
(605) 718-5888
Mailing address
2932 TOMAHAWK DR, RAPID CITY, SD 57702-4250
(605) 718-5888
(605) 718-5888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0553
SD
Other
Enumeration date
06/08/2011
Last updated
07/31/2011
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