Individual
DR. SHANE D. HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1621 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1743
(605) 328-9200
(605) 328-9201
Mailing address
2310 S MARION RD, STE 140, SIOUX FALLS, SD 57106-1144
(605) 361-2058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
586
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42581
SPECTERA
SD
05
—
9201352
—
SD
Enumeration date
02/15/2007
Last updated
12/27/2019
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