Organization
W-J OPTICAL
Active
Other names
optical expressions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM KINGSLEY (PRESIDENT)
(605) 660-3687
Entity
Organization
Contact information
Practice address
2101 BROADWAY AVE, YANKTON, SD 57078-1607
(605) 665-6181
(605) 665-6181
Mailing address
2101 BROADWAY AVE, YANKTON, SD 57078-1607
(605) 665-6181
(605) 665-6181
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9281330
—
SD
Enumeration date
09/13/2012
Last updated
09/14/2012
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